{"reporting_entity_name":"Molina-Healthcare-of-Ohio","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-10-15","version":"2.0.0","provider_references":[{"provider_group_id":232803,"network_name":["OH Network"],"provider_groups":[{"npi":[1043358245,1194226910,1235230855,1255546503,1295629640,1366135618,1447408430,1609805589,1649372624,1649671975,1649899428,1740567064,1780475384,1811720527],"tin":{"type":"ein","value":"310884250","business_name":"HEALTHSOURCE OF OHIO INC - DENTAL 0142397"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82652","description":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54328","description":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.4448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54328","description":"1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.4448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54332","description":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54332","description":"1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54326","description":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54326","description":"1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54322","description":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.2798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54322","description":"1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.2798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54324","description":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1202.2448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54324","description":"1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1202.2448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54336","description":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.9816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54336","description":"1 STG PERINEAL HYPOSPADIAS RPR W/GRF and /FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.9816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"17-HYDROXYPREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84143","description":"17-HYDROXYPREGNENOLONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0002","description":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82306","description":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7042","description":"5 PCT  DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7042","description":"5 PCT  DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1767.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1767.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.0618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1910.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2248.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3372.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.0309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.0618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1910.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2248.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3372.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.0309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A/C WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4422","description":"A/C WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A/C WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4422","description":"A/C WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4356","description":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4356","description":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81170","description":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93657","description":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93657","description":"ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1544.9963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.4979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1544.9963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.4979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47383","description":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1498.6099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2997.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5095.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.8014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5994.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8991.6592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47383","description":"ABLATION 1 OR GT  LIVER TUMOR PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1498.6099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2997.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5095.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.8014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5994.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8991.6592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.0457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1845.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.0457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1845.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.6097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.6097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2543.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2992.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4488.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2543.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2992.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4488.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47384","description":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47384","description":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55877","description":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.1823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55877","description":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.1823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1873.3397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2203.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3305.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1873.3397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2203.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3305.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32994","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.1499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2440.2997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4148.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4880.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7320.8992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32994","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.1499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2440.2997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4148.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4880.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7320.8992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32998","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1762.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2643.2122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32998","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1762.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2643.2122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55881","description":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.5716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3267.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5554.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.1743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6534.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9801.4298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55881","description":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.5716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3267.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5554.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.1743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6534.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9801.4298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2720.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4624.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5440.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8161.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2720.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4624.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5440.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8161.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55882","description":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10148.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3382.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5750.7077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6765.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55882","description":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10148.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3382.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5750.7077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6765.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2681.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.4434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2681.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.4434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.2479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.4591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2411.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.6752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.2479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.4591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2411.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.6752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60661","description":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60661","description":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60660","description":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2766.5348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.1782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60660","description":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2766.5348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.1782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19105","description":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.5335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19105","description":"ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.5335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12041.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6950","description":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10644.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3113.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3060.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3205.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2137.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.9695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2163.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2347.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4342","description":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4342","description":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2513","description":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3698.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4395","description":"ACELAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4395","description":"ACELAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TRIFACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4386","description":"ACESSO TRIFACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TRIFACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4386","description":"ACESSO TRIFACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.9042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.9042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.1496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.9995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.1496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.9995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86041","description":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86042","description":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86043","description":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACNE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"ACNE SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80406","description":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80402","description":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80400","description":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86015","description":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85307","description":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUP 1 OR GT  NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUP 1 OR GT  NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLES W/O ELEC STIMJ INIT 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97810","description":"ACUPUNCTURE 1 OR GT  NDLES W/O ELEC STIMJ INIT 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ELEC STIMJ 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ELEC STIMJ 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97814","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97811","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97810","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97810","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97811","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97811","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80074","description":"ACUTE HEPATITIS PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82016","description":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82017","description":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2621.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2524.2105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2099.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4026.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2496.3015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5845","description":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5615","description":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5438.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS PNEU SW  and  ST PH CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5841","description":"ADD ENDOSKEL KNEE-SHIN SYS PNEU SW  and  ST PH CTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1538.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.2125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5930","description":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2262.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.4095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1959.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1620.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.3585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.7835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3956","description":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.7085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2330","description":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2320","description":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2800","description":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2232","description":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2755","description":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0672","description":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5859","description":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15218.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5856","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23759.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3643.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1795.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1637.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5681","description":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.6705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2099.6115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2387","description":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5858","description":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18394.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5683","description":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.6705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2526","description":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2520","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4174.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3960.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3066.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5679","description":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5673","description":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT MECH RESIDUAL LIMB VOLUME MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5783","description":"ADD LWR EXT MECH RESIDUAL LIMB VOLUME MGMT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2535.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5926","description":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7406","description":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2593.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6895","description":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.6395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.0755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LWR EXT PROSTHESES OI EXTRNL PROS CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5991","description":"ADDITION LWR EXT PROSTHESES OI EXTRNL PROS CONN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9214.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6805","description":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82030","description":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7506","description":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7506","description":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4280","description":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4280","description":"ADHES SKN SUPPORT ATTCH USE W/EXT BRST PROSTH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER WIPES ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4456","description":"ADHESIVE REMOVER WIPES ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER WIPES ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4456","description":"ADHESIVE REMOVER WIPES ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.3337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.8023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.3337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.8023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.4998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.4998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.9753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.9753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2102","description":"ADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4523","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4523","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4522","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4522","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4521","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4521","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4524","description":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4524","description":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4526","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4526","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4528","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4528","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4527","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4527","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4525","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4525","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.8913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.8913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1284.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1284.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENOCORTICOTROPIC HORMONE ACTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE ACTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4382","description":"ADVOGRAFT DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4382","description":"ADVOGRAFT DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT ONE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4380","description":"ADVOGRAFT ONE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT ONE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4380","description":"ADVOGRAFT ONE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92651","description":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92651","description":"AEP HEARING STATUS DETER BROADBAND STIMULI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AEROGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4370","description":"AEROGUARD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEROGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4370","description":"AEROGUARD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFF2 GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81172","description":"AFF2 GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFF2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81171","description":"AFF2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1980","description":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1990","description":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2108","description":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2106","description":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1945","description":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1970","description":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO PLASTIC/OTHER MATL WITH ANKLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1971","description":"AFO PLASTIC/OTHER MATL WITH ANKLE JOINT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1960","description":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1933","description":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1920","description":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1952","description":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1900","description":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82107","description":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGGLUTININS FEBRILE EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86000","description":"AGGLUTININS FEBRILE EACH ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1806.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1806.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1806.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.1549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.1549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0312U","description":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.7123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"AIR PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0186","description":"AIR PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN ISCHEMIA MODIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82045","description":"ALBUMIN ISCHEMIA MODIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82040","description":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7613","description":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7613","description":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7611","description":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7611","description":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL TO 2.5 MG  AND  IPRATROPIUM BROM TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7620","description":"ALBUTEROL TO 2.5 MG  AND  IPRATROPIUM BROM TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL TO 2.5 MG  AND  IPRATROPIUM BROM TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7620","description":"ALBUTEROL TO 2.5 MG  AND  IPRATROPIUM BROM TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0397","description":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0397","description":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0396","description":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0396","description":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80408","description":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8622","description":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.4085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2922.9165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2553.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.9505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW XTRM PRSTH SHNK FT SYS W/VRTCL LOAD PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5987","description":"ALL LW XTRM PRSTH SHNK FT SYS W/VRTCL LOAD PYLN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4835.3235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL POTASSIUM HYDROXIDE PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0112","description":"ALL POTASSIUM HYDROXIDE PREPARATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL POTASSIUM HYDROXIDE PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0112","description":"ALL POTASSIUM HYDROXIDE PREPARATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86003","description":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86008","description":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86001","description":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN PHENOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82104","description":"ALPHA-1-ANTITRYPSIN PHENOTYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82106","description":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82105","description":"ALPHA-FETOPROTEIN SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0426","description":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0426","description":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0430","description":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1953.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1927.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2268.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0430","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1953.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0430","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1953.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1927.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2268.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1927.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2268.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0429","description":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0429","description":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0428","description":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0428","description":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST EXCL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4372","description":"AMCHOPLAST EXCL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST EXCL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4372","description":"AMCHOPLAST EXCL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4360","description":"AMCHOPLAST FD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4360","description":"AMCHOPLAST FD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOTHICK PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4368","description":"AMCHOTHICK PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOTHICK PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4368","description":"AMCHOTHICK PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINES VAGINAL FLUID QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82120","description":"AMINES VAGINAL FLUID QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82127","description":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82131","description":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82136","description":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82139","description":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82128","description":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID DELTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82135","description":"AMINOLEVULINIC ACID DELTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4365","description":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4365","description":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4363","description":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4363","description":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4364","description":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4364","description":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4298","description":"AMNIOCORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4298","description":"AMNIOCORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4299","description":"AMNIOCORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4299","description":"AMNIOCORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 3 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4369","description":"AMNIOPLAST 3 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 3 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4369","description":"AMNIOPLAST 3 PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST DOUBLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4391","description":"AMNIOPLAST DOUBLE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST DOUBLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4391","description":"AMNIOPLAST DOUBLE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC FLU SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82143","description":"AMNIOTIC FLU SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2790","description":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2790","description":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.3955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.3955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.3547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.3547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.2643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.2643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.5173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.5173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.0347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.0347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.8483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.8483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.6632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.0123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.6632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.0123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54125","description":"AMPUTATION PENIS COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54125","description":"AMPUTATION PENIS COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54120","description":"AMPUTATION PENIS PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.1281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.3438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54120","description":"AMPUTATION PENIS PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.1281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.3438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADICAL W/LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54135","description":"AMPUTATION PENIS RADICAL W/LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADICAL W/LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54135","description":"AMPUTATION PENIS RADICAL W/LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54130","description":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1427.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54130","description":"AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1427.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.2315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.2315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.4673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.4673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3083.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3083.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.2092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2463.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.2092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2463.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1415.5942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2498.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1415.5942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2498.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1481.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1742.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2613.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1481.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1742.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2613.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.2953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2005.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.2953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2005.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1826.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.8215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1826.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.8215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.9836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.9836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTANEDIOL GLUCURONIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"ANDROSTANEDIOL GLUCURONIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01951","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG  LT 4 PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01952","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG 4-9 PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01953","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01953","description":"ANES 2 and 3 DGR BURN EXC/DBRDMT W/WO GRFG EA 9 PCT TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9 PCT  TBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01953","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9 PCT  TBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4  PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01951","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4  PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9  PCT  TBSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01952","description":"ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9  PCT  TBSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01420","description":"ANES ALL CAST APPLICATION RMVL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01390","description":"ANES ALL CLOSED PX UPR END TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01820","description":"ANES ALL CLSD PX RADIUS ULNA WRIST/HAND BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01392","description":"ANES ALL OPEN PX UPR ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00300","description":"ANES ALL PX INTEG MUSC and NRV HEAD NCK and PST TRNK NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01320","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE KNEE and /POP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01250","description":"ANES ALL PX NRV MUSC TDN FASCIA and BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01810","description":"ANES ALL PX NRV MUSC TDN FSCA and BRS F/ARM WRST and HND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01610","description":"ANES ALL PX NRV MUSC TND FSCA and BRS SHOULDER and AX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01260","description":"ANES ALL PX VEINS UPR LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES ART KNEE POPLITEAL EXC and GRF/RPR OCCLS/ARYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES FOREARM WRIST  AND  HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES ARTERIES FOREARM WRIST  AND  HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES OF KNEE  AND  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES ARTERIES OF KNEE  AND  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTERIES SHOULDER  AND  AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES ARTERIES SHOULDER  AND  AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS HUMERAL H/N STRNCLAV  and  SHOULDER NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES ARTHRS HUMERAL H/N STRNCLAV  and  SHOULDER NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01830","description":"ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01112","description":"ANES BONE MARROW ASPIR and /BX ANT/PST ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01920","description":"ANES C-CATHJ W/C ANGIOGRAPHY  and  VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01420","description":"ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01968","description":"ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01969","description":"ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and  SHO JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLOSED HUMRL H/N STRNCLAV JOINT and  SHO JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01390","description":"ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01160","description":"ANES CLOSED PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01160","description":"ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00529","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00528","description":"ANES CLSD CH PX MEDIASTSC and THRSC W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01620","description":"ANES CLSD PX HUMRL H and N STRNCLAV ACROMCLAV and SHO JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00635","description":"ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/O PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00566","description":"ANES DIRECT CABG W/O PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":160.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":301.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DIRECT CABG W/PUMP OXYGENATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00567","description":"ANES DIRECT CABG W/PUMP OXYGENATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":160.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":301.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01992","description":"ANES DX/THER NERVE BLOCK and INJECTION PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01992","description":"ANES DX/THER NERVE BLOCK/INJECTION PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01991","description":"ANES DX/THER NRV BLK and NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01991","description":"ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00322","description":"ANES ESOPH THYR LARX TRCH and LYMPH NCK NDL BX THYR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARX TRACH  AND  LYMPH NCK BX THYRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00322","description":"ANES ESOPH THYRD LARX TRACH  AND  LYMPH NCK BX THYRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ESOPH THYRD LARYNX TRACH  AND  LYMPH NECK 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES ESOPH THYRD LARYNX TRACH  AND  LYMPH NECK 1YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTERNAL MIDDLE  and  INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES EXTERNAL MIDDLE  and  INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00860","description":"ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01860","description":"ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":334.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00580","description":"ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":334.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS  AND  1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS  AND  1YR AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00834","description":"ANES HERNIA REPAIR LOWER ABDOMEN NOS LT 1YR AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00832","description":"ANES HERNIA REPAIR LWR ABD VENTRAL and INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00754","description":"ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00756","description":"ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFT LT 37WK BRTH LT 50WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR LWR ABD NOS INFTS  LT 37WK BRTH/50WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00836","description":"ANES HRNA RPR LWR ABD NOS INFTS  LT 37WK BRTH/50WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR AND VENTRAL HERNIA AND DEHISC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00752","description":"ANES HRNA RPR UPR ABD LMBR and VNT HERNIA and /DEHSN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ  LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES HRT PERICARD SAC and GREAT VSLS W/PMP OXTJ  LT 1YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICARDIAL SAC and  GRT VESLS W/O PMP OXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES HRT PERICARDIAL SAC and  GRT VESLS W/O PMP OXT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ  GT 1MO PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES HRT PERICRD SAC and GRT VSLS W/PMP OXTJ  GT 1MO PO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":334.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HRT PRCRD SAC  and  GREAT VSL W/PUMP OXTJ HYPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES HRT PRCRD SAC  and  GREAT VSL W/PUMP OXTJ HYPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY W/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00220","description":"ANES ICR PX CEREBROSPINAL FLUID SHUNTING PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00211","description":"ANES ICR PX CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00215","description":"ANES ICR PX CRNOP/ELEVATION DEPRS SKULL FX XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00938","description":"ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG EXTREMITIES ANT TRUNK  AND  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES INTEG EXTREMITIES ANT TRUNK  AND  PERINEUM NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG MUSC  AND  NRV HEAD NECK AND POSTERIOR TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00300","description":"ANES INTEG MUSC  AND  NRV HEAD NECK AND POSTERIOR TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00406","description":"ANES INTEG SYS RAD/MODIFIED RAD BRST W/NODE DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00220","description":"ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00211","description":"ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00218","description":"ANES INTRACRANIAL PROCEDURE IN SITTING POSITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00214","description":"ANES INTRACRANIAL PX BURR HOLES W/VENTRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00222","description":"ANES INTRACRANIAL PX ELECTROCOAGULATION ICR NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01933","description":"ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00215","description":"ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00172","description":"ANES INTRAORAL PX W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00174","description":"ANES INTRAORAL PX W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00172","description":"ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00174","description":"ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00790","description":"ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00844","description":"ANES IPER PX LOWER ABD W/LAPS ABDOMINOPRNL RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00846","description":"ANES IPER PX LOWER ABD W/LAPS RAD HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00842","description":"ANES IPER PX LOWER ABDOMEN W/LAPS AMNIOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00848","description":"ANES IPER PX LWR ABD W/LAPS PELVIC EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00851","description":"ANES IPER PX LWR ABD W/LAPS TUBAL LIG/TRNSXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00797","description":"ANES IPER UPR ABD GASTRIC RSTCV PX MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":267.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":501.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00796","description":"ANES IPER UPR ABD LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":267.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":501.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00794","description":"ANES IPER UPR ABD PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00792","description":"ANES IPER UPR ABD PRTL HPTC MGMT LIVER HEMRRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00797","description":"ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES KNEE  AND  POPLITEAL ARTERY VEIN FISTULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES KNEE  AND  POPLITEAL ARTERY VEIN FISTULA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC LIVER TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00796","description":"ANES LAPAROSCOPIC LIVER TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":267.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":501.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00794","description":"ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00792","description":"ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00873","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00872","description":"ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01490","description":"ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES LWR ABD VENTRAL  AND  INCISIONAL HERNIA REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00832","description":"ANES LWR ABD VENTRAL  AND  INCISIONAL HERNIA REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00934","description":"ANES MALE GENT RAD AMP PENIS BI INGUN LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00529","description":"ANES MEDIASTINOSCOPY and THORACOSCOPY W/1 LUNG VNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00528","description":"ANES MEDIASTINOSCOPY and THORACSCOPY W/O 1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00640","description":"ANES MNPJ SPINE/CLSD PX CRV THRC/LUMBAR SPINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA  AND  BURSAE UPPER LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01250","description":"ANES NERVE MUSC TENDON FASCIA  AND  BURSAE UPPER LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01320","description":"ANES NERVE MUSC TENDON FASCIA and BURSA KNEE and /POPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01810","description":"ANES NERVE MUSCLE TDN FASCIA AND BURSA FOREARM WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01922","description":"ANES NON-INVASIVE IMAGING/RADIATION THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE  AND  ACCESSORY SINUSES BIOPSY SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES NOSE  AND  ACCESSORY SINUSES BIOPSY SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NOSE  AND  ACCESSORY SINUSES RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES NOSE  AND  ACCESSORY SINUSES RADICAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01716","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01714","description":"ANES NRV MUSC TDN FSCA and BRS UPR A and E TENOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01710","description":"ANES NRV MUSC TDN FSCA and BRS UPR ARM/ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER  AND  AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01610","description":"ANES NRV MUSC TNDN FSCIA BURSA SHOULDER  AND  AXILLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01392","description":"ANES OPEN PROC UPPER ENDS TIBIA FIBULA and /PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01484","description":"ANES OPEN PX B1 LWR L/A/F OSTEOT/OSTPL TIB and /FIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01482","description":"ANES OPEN PX B1 LWR L/A/F RADICAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01480","description":"ANES OPEN PX BONES LOWER LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01170","description":"ANES OPEN PX SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01234","description":"ANES OPEN PX UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01170","description":"ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01634","description":"ANES OPEN/ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01636","description":"ANES OPEN/ARTHRS INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01400","description":"ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01404","description":"ANES OPEN/SURG ARTHRS DISARTICULATION AT KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01760","description":"ANES OPEN/SURG ARTHRS PX ELBW TOTAL ELBOW RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01402","description":"ANES OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01173","description":"ANES OPN RPR FX DISRPJ PLVS/COLUMN FX ACETABULUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01630","description":"ANES OPN/ARTHR HUMRL H/N STRNCLV ACRMCLV and SHO NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01638","description":"ANES OPN/ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01758","description":"ANES OPN/SURG ARTHRS PX ELBW EXC CST/TUM HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01744","description":"ANES OPN/SURG ARTHRS PX ELBW RPR NON/MALUN HUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00530","description":"ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01939","description":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01939","description":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01940","description":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01940","description":"ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01941","description":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01941","description":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01942","description":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01942","description":"ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01937","description":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01937","description":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01938","description":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01938","description":"ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01444","description":"ANES PX ART KNEE and POP EXC and GRF/RPR OCCLS/ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01442","description":"ANES PX ART KNEE and POPLITEAL TEAEC W/WO PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01502","description":"ANES PX ART LWR LEG W/BYP GRAFT EMBLC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01652","description":"ANES PX ART SHO and AX AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01656","description":"ANES PX ART SHO and AX AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01272","description":"ANES PX ART UPPER LEG W/BYPASS GRAFT FEM ART LIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01274","description":"ANES PX ART UPR LEG BYPASS GRAFT FEM ART EMBLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01842","description":"ANES PX ARTERIES FOREARM WRIST and HAND EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01440","description":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01440","description":"ANES PX ARTERIES OF KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01654","description":"ANES PX ARTERIES SHOULDER and AXILLA BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00604","description":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00604","description":"ANES PX CERVICAL SPINE  and  CORD W/PATIENT SITTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00320","description":"ANES PX ESOPH THYR LARX TRCH and LYMPH NCK NOS 1YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00126","description":"ANES PX EXTERNAL MID and INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00124","description":"ANES PX EXTERNAL MIDDLE and INNER EAR W/BX OTOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00192","description":"ANES PX FACIAL BONES/SKL RAD SURG W/PROGNATHISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00560","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/O PUMP OXTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00561","description":"ANES PX HRT PRCRD SAC and GREAT VSLS W/PUMP OXTJ LT 1YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00563","description":"ANES PX HRT PRCRD SAC and GRT VSL PMP OXT CRC ARREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":222.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":418.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":334.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00562","description":"ANES PX HRT PRCRD SAC and GRT VSL W/PMP OXT AGE 1YR Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":334.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00410","description":"ANES PX INTEG SYS ELEC CONVERSION ARRHYTHMIAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00400","description":"ANES PX INTEG SYS XTR ANT TRUNK  and  PERINEUM NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00802","description":"ANES PX LOWER ANT ABDOMINAL WALL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00882","description":"ANES PX MAJ LOWER ABDOMINAL VESSELS IVC LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00932","description":"ANES PX MALE GENITALIA COMPL AMPUTATION PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00938","description":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00938","description":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00930","description":"ANES PX MALE GENITALIA ORCHIOPEXY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00928","description":"ANES PX MALE GENITALIA RAD ORCHIECTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00924","description":"ANES PX MALE GENITALIA UNDSCND TESTIS UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00921","description":"ANES PX MALE GENITALIA VASECTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00926","description":"ANES PX MALE GENTIALIA RAD ORCHIECTOMY INGUN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01712","description":"ANES PX NRV MUSC TDN FSCA and BRS UPR A and E TNOT OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01470","description":"ANES PX NRV/MUSC/TND/FASC LWR LEG ANKLE and FOOT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00120","description":"ANES PX ON EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00164","description":"ANES PX ON NOSE and ACCESSORY SINUSES BX SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00162","description":"ANES PX ON NOSE and ACCESSORY SINUSES RADICAL SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00702","description":"ANES PX UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01852","description":"ANES PX VEINS FOREARM WRIST and HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01522","description":"ANES PX VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01432","description":"ANES PX VN KNE and POPLITEAL AREA ARTERIOVENOUS FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00934","description":"ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUN and ILIAC LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00936","description":"ANES RAD AMP PENIS W/BI INGUNL and ILIAC LYMPH RMOVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00928","description":"ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00926","description":"ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01150","description":"ANES RADICAL PX TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01482","description":"ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01150","description":"ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00406","description":"ANES RADICAL/MODIFIED RADICAL BREAST W/NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01820","description":"ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01472","description":"ANES REPAIR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01472","description":"ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANES SEMINAL VESICLES INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01680","description":"ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01926","description":"ANES THER IVNTL RAD PX ARTERIAL ICR ICAR/AORTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01925","description":"ANES THER IVNTL RAD PX ARTL CAROTID/CORONARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01931","description":"ANES THER IVNTL RAD VEN/LYMPHTC NTRHPTC/PRTL CRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01930","description":"ANES THER IVTNL PX VENOUS/LYMPHATIC SYS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00626","description":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00626","description":"ANES THORACIC SPINE  and  CORD ANT APPR W/1 LNG VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANES THORACOTOMY  AND  THORACOSCOPY DECORTICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANES THORACOTOMY  AND  THORACOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND  THORACOSCOPY PULMONARY RESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY  AND  THORACOSCOPY PULMONARY RESC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  AND THORACSCOPY TRACHEA  AND  BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY  AND THORACSCOPY TRACHEA  AND  BRONCHI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":284.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY  and  THORACOSCOPY W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANES THORACOTOMY  and  THORACOSCOPY W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":284.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00548","description":"ANES THORACOTOMY PX NTRATHRC PX TRACHEA and BRONCHI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":284.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00546","description":"ANES THORACOTOMY PX PULMONARY RESCJ W/THORACOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00625","description":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00625","description":"ANES THRC SPINE  and  CORD ANT APPR W/O 1 LUNG VENTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00912","description":"ANES TRANSURETHRAL PX RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00910","description":"ANES TRANSURETHRAL PX W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00912","description":"ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00910","description":"ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00534","description":"ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL FRAGMNTJ MANJ and /RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00918","description":"ANES TRURL PX FRAGMNTJ MNPJ and /RMVL URTRL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00916","description":"ANES TRURL PX POST-TRURL RESECTION BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00924","description":"ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01234","description":"ANES UPPER 2/3 FEMUR RADICAL RESCECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01274","description":"ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00702","description":"ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01962","description":"ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00942","description":"ANES VAG PX COLPTMY VAGNC COLPRPHY and OPN URTL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00952","description":"ANES VAG PX HYSTEROSCOPY and /HYSTEROSALPINGOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00921","description":"ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS FOREARM WRIST  AND  HAND PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01852","description":"ANES VEINS FOREARM WRIST  AND  HAND PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01522","description":"ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01260","description":"ANES VEINS OF UPPER LEG INCLUDING EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01930","description":"ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRNL MID  and  INNER EAR W/BX TYMPANOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00126","description":"ANES XTRNL MID  and  INNER EAR W/BX TYMPANOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00866","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT ADRENALECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00865","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RAD PRST8ECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00862","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00868","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT RENAL TRANSPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00864","description":"ANES XTRPRTL PX LWR ABD W/UR TRACT TOT CSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00870","description":"ANES XTRPRTL PX LWR ABD W/UR TRC CYSTOLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01758","description":"ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01404","description":"ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01760","description":"ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01402","description":"ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00532","description":"ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01380","description":"ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01340","description":"ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01462","description":"ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE  and  FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01360","description":"ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00500","description":"ANESTHESIA ALL PROCEDURES ON ESOPHAGUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00326","description":"ANESTHESIA ALL PX LARYNX and TRACHEA CHILDREN LT 1YEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00770","description":"ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01670","description":"ANESTHESIA ALL PX VEINS SHOULDER and AXILLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ANORECTAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00902","description":"ANESTHESIA ANORECTAL PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES FOREARM WRIST  AND  HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA ARTERIES FOREARM WRIST  AND  HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES SHOULDER  AND  AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA ARTERIES SHOULDER  AND  AXILLA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM  AND  ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA ARTERIES UPPER ARM  AND  ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA ARTERIES UPPER ARM AND ELBOW EMBOLECTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE  AND  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE  AND  FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01464","description":"ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE and /FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01202","description":"ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01634","description":"ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01832","description":"ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01652","description":"ANESTHESIA AXILLARY-BRACHIAL ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01656","description":"ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01716","description":"ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA BODY CAST APPLICATION OR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01130","description":"ANESTHESIA BODY CAST APPLICATION OR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01963","description":"ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00537","description":"ANESTHESIA CARDIAC EP PX W/RF ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01925","description":"ANESTHESIA CAROTID/CORONARY THER IVNTL RAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CERVICAL SPINE  AND  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA CERVICAL SPINE  AND  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01961","description":"ANESTHESIA CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE  AND  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA CLAVICLE  AND  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00522","description":"ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00524","description":"ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00520","description":"ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00520","description":"ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA CLOSED HIP JOINT PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE  AND  FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01462","description":"ANESTHESIA CLOSED PROC LOWER LEG ANKLE  AND  FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01730","description":"ANESTHESIA CLOSED PROCEDURES HUMERUS  AND  ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01380","description":"ANESTHESIA CLOSED PROCEDURES KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01340","description":"ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01220","description":"ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00813","description":"ANESTHESIA COMBINED UPPER AND LOWER GI ENDOSCOPIC PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA CULDOSCOPY INCLUDING BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01916","description":"ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01382","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01829","description":"ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01732","description":"ANESTHESIA DX ARTHROSCOPIC PX ELBOW JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01622","description":"ANESTHESIA DX ARTHROSCOPIC PX SHOULDER JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01732","description":"ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00104","description":"ANESTHESIA ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00500","description":"ANESTHESIA ESOPHAGUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE  AND  SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE  AND  SPINAL CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00670","description":"ANESTHESIA EXTENSIVE SPINE and SPINAL CORD PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL CEPHALIC VERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01958","description":"ANESTHESIA EXTERNAL CEPHALIC VERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00120","description":"ANESTHESIA EXTERNAL MIDDLE  and  INNER EAR W/BX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA EYE LENS SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01200","description":"ANESTHESIA FOR ALL CLOSED PX INVOLVING HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00350","description":"ANESTHESIA FOR PX MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA FOR STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00550","description":"ANESTHESIA FOR STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01474","description":"ANESTHESIA GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00830","description":"ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00750","description":"ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01965","description":"ANESTHESIA INCOMPLETE/MISSED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INDUCED ABORTION PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01966","description":"ANESTHESIA INDUCED ABORTION PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01140","description":"ANESTHESIA INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURE NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00212","description":"ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00210","description":"ANESTHESIA INTRACRANIAL PROCEDURES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":184.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":97.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00216","description":"ANESTHESIA INTRACRANIAL PX VASCULAR PROCEDURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00216","description":"ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01931","description":"ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00176","description":"ANESTHESIA INTRAORAL PX W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00170","description":"ANESTHESIA INTRAORAL PX WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00176","description":"ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00170","description":"ANESTHESIA INTRAORAL WITH BIOPSY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00840","description":"ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LARYNX  and  TRACHEA CHILDREN  LT 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00326","description":"ANESTHESIA LARYNX  and  TRACHEA CHILDREN  LT 1 YEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00811","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00812","description":"ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00770","description":"ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00350","description":"ANESTHESIA MAJOR VESSELS NECK NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00352","description":"ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA NOSE  AND  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA NOSE  AND  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA ON BONY PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN HIP JOINT DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN HIP JOINT PROCEDURE NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01210","description":"ANESTHESIA OPEN PROCEDURES HIP JOINT NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01360","description":"ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01230","description":"ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01212","description":"ANESTHESIA OPEN PX HIP JOINT HIP DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01215","description":"ANESTHESIA OPEN PX REVISION TOT HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01486","description":"ANESTHESIA OPEN PX TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01214","description":"ANESTHESIA OPEN PX TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01232","description":"ANESTHESIA OPEN PX UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01215","description":"ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01712","description":"ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01486","description":"ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01214","description":"ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01740","description":"ANESTHESIA OPEN/SURG ARTHROSCOPIC PX ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS ELBW OSTEOTOMY HUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01742","description":"ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS PX ELBOW RADICAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01756","description":"ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00470","description":"ANESTHESIA PARTIAL RIB RESECTION NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00474","description":"ANESTHESIA PARTIAL RIB RESECTION RADICAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":217.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00472","description":"ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PERINEAL PROSTATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00908","description":"ANESTHESIA PERINEAL PROSTATECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00630","description":"ANESTHESIA PROCEDURES IN LUMBAR REGION NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PROCEDURES ON BONY PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01120","description":"ANESTHESIA PROCEDURES ON BONY PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01840","description":"ANESTHESIA PX ARTERIES FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01500","description":"ANESTHESIA PX ARTERIES LWR LEG W/BYPASS GRF NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01650","description":"ANESTHESIA PX ARTERIES SHOULDER and AXILLA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01770","description":"ANESTHESIA PX ARTERIES UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPPER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01270","description":"ANESTHESIA PX ARTERIES UPPER LEG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01772","description":"ANESTHESIA PX ARTERIES UPR ARM and ELBW EMBOLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00600","description":"ANESTHESIA PX CERVICAL SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00454","description":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00454","description":"ANESTHESIA PX CLAVICLE  and  SCAPULA BIOPSY CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00450","description":"ANESTHESIA PX CLAVICLE AND SCAPULA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00404","description":"ANESTHESIA PX INTEG SYS RAD/MODIFIED RAD BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00402","description":"ANESTHESIA PX INTEG SYS RECONSTRUCTIVE PX BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00102","description":"ANESTHESIA PX INVOLVING PLASTIC REPAIR CLEFT LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00800","description":"ANESTHESIA PX LOWER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00820","description":"ANESTHESIA PX LOWER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00632","description":"ANESTHESIA PX LUMBAR REGION LUMBAR SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00880","description":"ANESTHESIA PX MAJOR LOWER ABDOMINAL VESSELS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00920","description":"ANESTHESIA PX MALE GENITALIA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00922","description":"ANESTHESIA PX MALE GENITALIA SEMINAL VESICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00144","description":"ANESTHESIA PX ON EYE CORNEAL TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00147","description":"ANESTHESIA PX ON EYE IRIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00142","description":"ANESTHESIA PX ON EYE LENS SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00140","description":"ANESTHESIA PX ON EYE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00148","description":"ANESTHESIA PX ON EYE OPHTHALMOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00145","description":"ANESTHESIA PX ON EYE VITREORETINAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00190","description":"ANESTHESIA PX ON FACIAL BONES OR SKULL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00160","description":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00160","description":"ANESTHESIA PX ON NOSE  and  ACCESSORY SINUSES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00100","description":"ANESTHESIA PX ON SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00620","description":"ANESTHESIA PX THORACIC SPINE  and  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00700","description":"ANESTHESIA PX UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00730","description":"ANESTHESIA PX UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01850","description":"ANESTHESIA PX VEINS FOREARM WRIST and HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01430","description":"ANESTHESIA PX VEINS KNEE  and  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01520","description":"ANESTHESIA PX VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01780","description":"ANESTHESIA PX VEINS UPPER ARM and ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01782","description":"ANESTHESIA PX VEINS UPR ARM and ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL PERINEAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00904","description":"ANESTHESIA RADICAL PERINEAL PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00404","description":"ANESTHESIA RADICAL/MODIFIED RADICAL BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTION BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00402","description":"ANESTHESIA RECONSTRUCTION BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00103","description":"ANESTHESIA RECONSTRUCTIVE PROCEDURES OF EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00100","description":"ANESTHESIA SALIVARY GLANDS WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01714","description":"ANESTHESIA TENOPLASTY ELBOW TO SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01932","description":"ANESTHESIA THER IVNTL RAD INTRATHORACIC/JUGULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01924","description":"ANESTHESIA THER IVNTL RAD PX ARTERIAL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01933","description":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01933","description":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":71.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01924","description":"ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACIC SPINE  AND  CORD NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00620","description":"ANESTHESIA THORACIC SPINE  AND  CORD NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":167.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00542","description":"ANESTHESIA THORACOTOMY PROCEDURES DECORTICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PROCEDURES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00540","description":"ANESTHESIA THORACOTOMY PROCEDURES NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":106.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00541","description":"ANESTHESIA THORACOTOMY PX W/1 LUNG VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":250.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":160.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":301.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00539","description":"ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":160.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":301.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL PX RESECTION PROSTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00914","description":"ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01232","description":"ANESTHESIA UPPER 2/3 FEMUR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00700","description":"ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00732","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00731","description":"ANESTHESIA UPPER GI ENDOSCOPIC PX NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00730","description":"ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01960","description":"ANESTHESIA VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00940","description":"ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00948","description":"ANESTHESIA VAGINAL PX CERVICAL CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX CULDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00950","description":"ANESTHESIA VAGINAL PX CULDOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00944","description":"ANESTHESIA VAGINAL PX VAGINAL HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01844","description":"ANESTHESIA VASCULAR SHUNT/SHUNT REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":100.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS FOREARM WRIST  AND  HAND NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01850","description":"ANESTHESIA VEINS FOREARM WRIST  AND  HAND NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS KNEE  AND  POPLITEAL AREA NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01430","description":"ANESTHESIA VEINS KNEE  AND  POPLITEAL AREA NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS OF LOWER LEG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01520","description":"ANESTHESIA VEINS OF LOWER LEG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS SHOULDER  AND  AXILLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01670","description":"ANESTHESIA VEINS SHOULDER  AND  AXILLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01780","description":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW PHLEBORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01782","description":"ANESTHESIA VEINS UPPER ARM  AND  ELBOW PHLEBORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA VULVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00906","description":"ANESTHESIA VULVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":35.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":66.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN I-CONVERTING ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82164","description":"ANGIOTENSIN I-CONVERTING ENZYME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82163","description":"ANGIOTENSIN II","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87003","description":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1940","description":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2270.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1950","description":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1904","description":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1907","description":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2241.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.7347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.7083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.7347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.7083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92286","description":"ANT SGM IMAGING I and R SPECLR MICROSCOPY and NDTHL ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/FLUOROSCEIN ANGIO  and  I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92287","description":"ANT SGM IMAGING W/I and R W/FLUORESCEIN ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92286","description":"ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22836","description":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1754.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2064.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.1543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22836","description":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1754.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2064.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.1543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22837","description":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22837","description":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0224U","description":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8696","description":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.6633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.6633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.7678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.7678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86148","description":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ACTINOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86602","description":"ANTIBODY ACTINOMYCES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86603","description":"ANTIBODY ADENOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86606","description":"ANTIBODY ASPERGILLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86609","description":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BARTONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86611","description":"ANTIBODY BARTONELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BLASTOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86612","description":"ANTIBODY BLASTOMYCES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORDETELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86615","description":"ANTIBODY BORDETELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86617","description":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86618","description":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA RELAPSING FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86619","description":"ANTIBODY BORRELIA RELAPSING FEVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BRUCELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86622","description":"ANTIBODY BRUCELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CAMPYLOBACTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86625","description":"ANTIBODY CAMPYLOBACTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86628","description":"ANTIBODY CANDIDA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86631","description":"ANTIBODY CHLAMYDIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86632","description":"ANTIBODY CHLAMYDIA IGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COCCIDIOIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86635","description":"ANTIBODY COCCIDIOIDES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COXIELLA BURNETII Q FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86638","description":"ANTIBODY COXIELLA BURNETII Q FEVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CRYPTOCOCCUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86641","description":"ANTIBODY CRYPTOCOCCUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86644","description":"ANTIBODY CYTOMEGALOVIRUS CMV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86645","description":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY DIPHTHERIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86648","description":"ANTIBODY DIPHTHERIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EHRLICHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86666","description":"ANTIBODY EHRLICHIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ELUTION RBC EACH ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86860","description":"ANTIBODY ELUTION RBC EACH ELUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86651","description":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86652","description":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS ST. LOUIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86653","description":"ANTIBODY ENCEPHALITIS ST. LOUIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86654","description":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENTEROVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86658","description":"ANTIBODY ENTEROVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86663","description":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86664","description":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86665","description":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FRANCISELLA TULARENSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86668","description":"ANTIBODY FRANCISELLA TULARENSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86671","description":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY GIARDIA LAMBLIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86674","description":"ANTIBODY GIARDIA LAMBLIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HAEMOPHILUS INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86684","description":"ANTIBODY HAEMOPHILUS INFLUENZA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELICOBACTER PYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86677","description":"ANTIBODY HELICOBACTER PYLORI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86682","description":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HEP DELTA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86692","description":"ANTIBODY HEP DELTA AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86694","description":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86695","description":"ANTIBODY HERPES SMPLX TYPE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86696","description":"ANTIBODY HERPES SMPLX TYPE 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HISTOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86698","description":"ANTIBODY HISTOPLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86703","description":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86702","description":"ANTIBODY HIV-2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86828","description":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86832","description":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86829","description":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86830","description":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86834","description":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86833","description":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86831","description":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86835","description":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86687","description":"ANTIBODY HTLV-I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86688","description":"ANTIBODY HTLV-II","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86870","description":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86021","description":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86022","description":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86023","description":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY INFLUENZA VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86710","description":"ANTIBODY INFLUENZA VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY JOHN CUNNINGHAM VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86711","description":"ANTIBODY JOHN CUNNINGHAM VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEGIONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86713","description":"ANTIBODY LEGIONELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEISHMANIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86717","description":"ANTIBODY LEISHMANIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEPTOSPIRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86720","description":"ANTIBODY LEPTOSPIRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LISTERIA MONOCYTOGENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86723","description":"ANTIBODY LISTERIA MONOCYTOGENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86727","description":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUCORMYCOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86732","description":"ANTIBODY MUCORMYCOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86735","description":"ANTIBODY MUMPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MYCOPLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86738","description":"ANTIBODY MYCOPLSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NEISSERIA MENINGITIDIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86741","description":"ANTIBODY NEISSERIA MENINGITIDIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NOCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86744","description":"ANTIBODY NOCARDIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PARVOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86747","description":"ANTIBODY PARVOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PLASMODIUM MALARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86750","description":"ANTIBODY PLASMODIUM MALARIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PROTOZOA NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86753","description":"ANTIBODY PROTOZOA NES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86756","description":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RICKETTSIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86757","description":"ANTIBODY RICKETTSIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86759","description":"ANTIBODY ROTAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86762","description":"ANTIBODY RUBELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86765","description":"ANTIBODY RUBEOLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SALMONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86768","description":"ANTIBODY SALMONELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86850","description":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SHIGELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86771","description":"ANTIBODY SHIGELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TETANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86774","description":"ANTIBODY TETANUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86777","description":"ANTIBODY TOXOPLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86778","description":"ANTIBODY TOXOPLASMA IGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86780","description":"ANTIBODY TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TRICHINELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86784","description":"ANTIBODY TRICHINELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VARICELLA-ZOSTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86787","description":"ANTIBODY VARICELLA-ZOSTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86790","description":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86789","description":"ANTIBODY WEST NILE VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86788","description":"ANTIBODY WEST NILE VIRUS IGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY YERSINIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86793","description":"ANTIBODY YERSINIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86880","description":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86885","description":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86886","description":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86036","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86037","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES ANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES ANA TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86063","description":"ANTISTREPTOLYSIN O SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86060","description":"ANTISTREPTOLYSIN O TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBIN III PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7197","description":"ANTITHROMBIN III PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81411","description":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.7812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81410","description":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1333.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1333.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.9876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.9876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81203","description":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81201","description":"APC GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81202","description":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2975.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2975.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2757.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2757.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLIPOPROTEIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82172","description":"APOLIPOPROTEIN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLLO FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4385","description":"APOLLO FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLLO FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4385","description":"APOLLO FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.0326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.0326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.5348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.5348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.7353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.7353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.7353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MLTLAYR COMPRES SYS UPARM LWARM HAND AND FING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29584","description":"APPL MULTILAYR CMPRN SYS UPR ARM F/ARM HAND and FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15015","description":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.3479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15015","description":"APPL SKIN CELL SSP AGRFT T/A/L 1ST 480 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.3479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15016","description":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15016","description":"APPL SKIN CELL SSP AGRFT T/A/L EA ADDL 480 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15017","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15017","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT 1ST 480","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15018","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15018","description":"APPL SKN CLL SSP AGRFT F/S/N/H/F/G/M/DGT EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER HIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW FINGER SHORT ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER HAND LONG ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.8688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.8688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0792T","description":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0792T","description":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5131","description":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5131","description":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86052","description":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY ELISA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86051","description":"AQUAPORIN-4 ANTIBODY ELISA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86053","description":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8612","description":"AQUEOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.1805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66180","description":"AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66179","description":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66179","description":"AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81204","description":"AR GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81173","description":"AR GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81174","description":"AR GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7605","description":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.2439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.2439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.9813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.9813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.7066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.7066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTACENT C PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTACENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.6697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.2701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.2701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1887.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1887.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.9022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2006.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.9022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2006.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.9022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2006.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1226.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2164.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1226.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2164.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.5998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.5998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.6375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.6375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1421.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.4634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1421.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.4634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.5493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.5493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13734.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2289.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4578.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.2118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13734.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2289.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4578.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.2118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.9818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27279","description":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.9818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13734.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2289.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4578.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.2118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1887.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2208.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2208.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2208.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.6697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.6697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.7135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.7135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.2473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.2473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.5036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.5036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1415.6573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1415.6573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1709.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.9783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1709.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.9783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1831.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1831.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.4115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.4115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.0958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.0958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.1943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.1943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.1943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1706.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.9791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1706.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.9791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2884.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2884.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2884.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.6811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1751.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.6948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.6811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1751.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.6948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.6811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1751.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.6948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1706.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.9791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1846.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.7996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.5993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.8825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1846.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.7996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.5993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1846.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.7996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.5993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.8825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.8825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22586","description":"ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22586","description":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22586","description":"ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.5493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.9818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.9818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.3317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.3317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.1616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.1616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.5495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.5495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.6993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.6993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.3936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.0847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.0847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.3936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.3936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.6998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.6998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.1304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.1304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.4966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.4966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.4135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.4135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1646.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.3361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.7428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1646.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.3361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.7428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.5136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.5136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.3275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.3275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.6432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.6432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.3653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.3653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.0734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.0734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.7297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.7583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.7297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.7583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.0622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.0622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.3108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.3108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.1498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.1498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.4688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.4688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.6602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.6602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE LATERAL RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.5356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.5356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.3763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.5396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.3763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.5396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.9313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.9313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.9607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.9607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.9607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.9313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.6602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.7357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.8581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.7373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.5753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.2493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.1543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.9595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.9595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.9748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.9748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.4063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.4063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.0343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.0343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.7216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.7216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.3382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.3382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.4008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.4008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.3593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.3593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.3577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.3577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1818.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.0128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1818.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.0128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.6817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.6817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.6817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.7053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.7053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.9363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.9363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.4199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.4199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.5461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.9638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.5461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.9638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.8249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.8249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.8026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.8026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.8026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.2289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.8158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.2289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.8158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.9398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.6671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.6671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.6671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.3663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.3663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.9398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.9398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.3663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.9063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.9063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.1163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.1163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.9182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.9182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.0463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.0463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.7008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.7008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.9147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.9147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8609","description":"ARTIFICIAL CORNEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6448.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.5454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.5508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.5454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.5508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.3169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.3195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2028.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.3169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.3195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2028.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1666.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2941.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.3692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1666.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2941.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.3692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.2566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2451.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.2566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2451.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3228.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3228.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2498.6966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2939.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4409.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2498.6966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2939.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4409.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1792.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2108.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3163.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1792.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2108.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3163.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2210.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3316.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.6964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2210.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3316.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.6964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4390","description":"ASCENDION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4390","description":"ASCENDION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81412","description":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81200","description":"ASPA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.1298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67015","description":"ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.1298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84410","description":"ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY NEUROFILAMENT LIGHT CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83884","description":"ASSAY NEUROFILAMENT LIGHT CHAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETYLCHOLINESTERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82013","description":"ASSAY OF ACETYLCHOLINESTERASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL BREATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82085","description":"ASSAY OF ALDOLASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82088","description":"ASSAY OF ALDOSTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALUMINUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82108","description":"ASSAY OF ALUMINUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82140","description":"ASSAY OF AMMONIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82150","description":"ASSAY OF AMYLASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ANTI-MULLERIAN HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82166","description":"ASSAY OF ANTI-MULLERIAN HORMONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ARSENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82175","description":"ASSAY OF ARSENIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ASCORBIC ACID BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82180","description":"ASSAY OF ASCORBIC ACID BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83080","description":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84550","description":"ASSAY OF BLOOD/URIC ACID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84681","description":"ASSAY OF C-PEPTIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83993","description":"ASSAY OF CALPROTECTIN FECAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CHROMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82495","description":"ASSAY OF CHROMIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CITRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82507","description":"ASSAY OF CITRATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82525","description":"ASSAY OF COPPER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CREATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82540","description":"ASSAY OF CREATINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CRYOFIBRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82585","description":"ASSAY OF CRYOFIBRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CYANIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82600","description":"ASSAY OF CYANIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIBUCAINE NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82638","description":"ASSAY OF DIBUCAINE NUMBER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82681","description":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82668","description":"ASSAY OF ERYTHROPOIETIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF ESTRADIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82677","description":"ASSAY OF ESTRIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82671","description":"ASSAY OF ESTROGENS FRACTIONATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82672","description":"ASSAY OF ESTROGENS TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82679","description":"ASSAY OF ESTRONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHYLENE GLYCOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82693","description":"ASSAY OF ETHYLENE GLYCOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETIOCHOLANOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82696","description":"ASSAY OF ETIOCHOLANOLONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82728","description":"ASSAY OF FERRITIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82735","description":"ASSAY OF FLUORIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82747","description":"ASSAY OF FOLIC ACID RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82746","description":"ASSAY OF FOLIC ACID SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FRUCTOSE SEMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82757","description":"ASSAY OF FRUCTOSE SEMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOKINASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82759","description":"ASSAY OF GALACTOKINASE RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82760","description":"ASSAY OF GALACTOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82784","description":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82785","description":"ASSAY OF GAMMAGLOBULIN IGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82941","description":"ASSAY OF GASTRIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCAGON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82943","description":"ASSAY OF GLUCAGON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCOSIDASE BETA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82963","description":"ASSAY OF GLUCOSIDASE BETA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82965","description":"ASSAY OF GLUTAMATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMYLTRASE GAMMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82977","description":"ASSAY OF GLUTAMYLTRASE GAMMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82978","description":"ASSAY OF GLUTATHIONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE REDUCTASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82979","description":"ASSAY OF GLUTATHIONE REDUCTASE RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82985","description":"ASSAY OF GLYCATED PROTEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GROWTH HORMONE HUMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83003","description":"ASSAY OF GROWTH HORMONE HUMAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN PHENOTYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83012","description":"ASSAY OF HAPTOGLOBIN PHENOTYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83010","description":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"ASSAY OF HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"ASSAY OF HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83070","description":"ASSAY OF HEMOSIDERIN QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HISTAMINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83088","description":"ASSAY OF HISTAMINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOCYSTEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83090","description":"ASSAY OF HOMOCYSTEINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOVANILLIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83150","description":"ASSAY OF HOMOVANILLIC ACID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83497","description":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83498","description":"ASSAY OF HYDROXYPROGESTERONE 17-D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83500","description":"ASSAY OF HYDROXYPROLINE FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF HYDROXYPROLINE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83527","description":"ASSAY OF INSULIN FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83525","description":"ASSAY OF INSULIN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTERLEUKIN-6 (IL-6)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83529","description":"ASSAY OF INTERLEUKIN-6 (IL-6)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83528","description":"ASSAY OF INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83540","description":"ASSAY OF IRON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83582","description":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOSTEROIDS 17- TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83586","description":"ASSAY OF KETOSTEROIDS 17- TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF L7383TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF L7383TRANSFERRIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LACTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83605","description":"ASSAY OF LACTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83690","description":"ASSAY OF LIPASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MALATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83775","description":"ASSAY OF MALATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MANGANESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83785","description":"ASSAY OF MANGANESE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MERCURY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83825","description":"ASSAY OF MERCURY QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83883","description":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83885","description":"ASSAY OF NICKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NUCLEOTIDASE 5'-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83915","description":"ASSAY OF NUCLEOTIDASE 5'-","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83930","description":"ASSAY OF OSMOLALITY BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83935","description":"ASSAY OF OSMOLALITY URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSTEOCALCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83937","description":"ASSAY OF OSTEOCALCIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OXALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83945","description":"ASSAY OF OXALATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83970","description":"ASSAY OF PARATHORMONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLALANINE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84030","description":"ASSAY OF PHENYLALANINE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLKETONES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84035","description":"ASSAY OF PHENYLKETONES QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID PROSTATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84066","description":"ASSAY OF PHOSPHATASE ACID PROSTATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84060","description":"ASSAY OF PHOSPHATASE ACID TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84075","description":"ASSAY OF PHOSPHATASE ALKALINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84078","description":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84080","description":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84087","description":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84100","description":"ASSAY OF PHOSPHORUS INORGANIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84105","description":"ASSAY OF PHOSPHORUS INORGANIC URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84110","description":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84144","description":"ASSAY OF PROGESTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROINSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84206","description":"ASSAY OF PROINSULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84146","description":"ASSAY OF PROLACTIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTAGLNDIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84150","description":"ASSAY OF PROSTAGLNDIN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84152","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84154","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84153","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRIDOXAL PHOSPHATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84207","description":"ASSAY OF PYRIDOXAL PHOSPHATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84210","description":"ASSAY OF PYRUVATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE KINASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84220","description":"ASSAY OF PYRUVATE KINASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84228","description":"ASSAY OF QUININE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY ESTROGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84233","description":"ASSAY OF RECEPTOR ASSAY ESTROGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84234","description":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84244","description":"ASSAY OF RENIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84252","description":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SELENIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84255","description":"ASSAY OF SELENIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEROTONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84260","description":"ASSAY OF SEROTONIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEX HORMONE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84270","description":"ASSAY OF SEX HORMONE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SIALIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84275","description":"ASSAY OF SIALIC ACID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SILICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84285","description":"ASSAY OF SILICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SODIUM OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84302","description":"ASSAY OF SODIUM OTHER SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84305","description":"ASSAY OF SOMATOMEDIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOSTATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84307","description":"ASSAY OF SOMATOSTATIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SULFATE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84392","description":"ASSAY OF SULFATE URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84402","description":"ASSAY OF TESTOSTERONE FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84403","description":"ASSAY OF TESTOSTERONE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIAMINE-VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84425","description":"ASSAY OF THIAMINE-VITAMIN B-1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIOCYANATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84430","description":"ASSAY OF THIOCYANATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84432","description":"ASSAY OF THYROGLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84442","description":"ASSAY OF THYROXINE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84446","description":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF TOTAL ESTRADIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL HYDROXYPROLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF TOTAL HYDROXYPROLINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84449","description":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF TRANSFERRIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84478","description":"ASSAY OF TRIGLYCERIDES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84481","description":"ASSAY OF TRIIODOTHYRONINE T3 FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84480","description":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84512","description":"ASSAY OF TROPONIN QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84484","description":"ASSAY OF TROPONIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN DUODENAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84485","description":"ASSAY OF TRYPSIN DUODENAL FLUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84488","description":"ASSAY OF TRYPSIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TYROSINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84510","description":"ASSAY OF TYROSINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84520","description":"ASSAY OF UREA NITROGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84525","description":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84540","description":"ASSAY OF UREA NITROGEN URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URIC ACID OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84560","description":"ASSAY OF URIC ACID OTHER SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84300","description":"ASSAY OF URINE SODIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84577","description":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84578","description":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84583","description":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VANILLYLMANDELIC ACID URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84585","description":"ASSAY OF VANILLYLMANDELIC ACID URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84586","description":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84588","description":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84590","description":"ASSAY OF VITAMIN A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84597","description":"ASSAY OF VITAMIN K","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84591","description":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VOLATILES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84600","description":"ASSAY OF VOLATILES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84630","description":"ASSAY OF ZINC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY THIOPURINE S-METHYLTRANSFERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84433","description":"ASSAY THIOPURINE S-METHYLTRANSFERASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96105","description":"ASSESSMENT APHASIA W/INTERP  and  REPORT PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASXL1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81175","description":"ASXL1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81176","description":"ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81177","description":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82190","description":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.7898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.7898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81183","description":"ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81182","description":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8691","description":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.1236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8694","description":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8693","description":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3675.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEVC INT/EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8690","description":"AUDITORY OSSEOINTEGRATED DEVC INT/EXT COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4708.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92630","description":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92630","description":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8045","description":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2478.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2608.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2436.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2436.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86891","description":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.1341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27412","description":"AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68157.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68157.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4046.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY CRUTCH EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0978","description":"AXILLARY CRUTCH EXTENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.3597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.3597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4384","description":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4384","description":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4383","description":"AXOLOTL GRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4383","description":"AXOLOTL GRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7500","description":"AZATHIOPRINE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86355","description":"B CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1450.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.0371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":967.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1450.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.0371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":967.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2293","description":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2291","description":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.2007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.2007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2541.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB WALL RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0241","description":"BATHTUB WALL RAIL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3514.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4134.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3514.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4134.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.2721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1483.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.2721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1483.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKDHB GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81205","description":"BCKDHB GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81206","description":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81207","description":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81208","description":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN FRACTURE METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0276","description":"BED PAN FRACTURE METAL OR PLASTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED PAN STANDARD METAL OR PLASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0275","description":"BED PAN STANDARD METAL OR PLASTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2404.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8995.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8511.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2295.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2337.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2587.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3023.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2154.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3479.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-2 MICROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82232","description":"BETA-2 MICROGLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-40 (ABETA 40)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82233","description":"BETA-AMYLOID 1-40 (ABETA 40)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-42 (ABETA 42)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82234","description":"BETA-AMYLOID 1-42 (ABETA 42)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1007","description":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78302.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS CHOLYLGLYCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82240","description":"BILE ACIDS CHOLYLGLYCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82239","description":"BILE ACIDS TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82248","description":"BILIRUBIN DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82252","description":"BILIRUBIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82247","description":"BILIRUBIN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88720","description":"BILIRUBIN TOTAL TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93701","description":"BIOIMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4418","description":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4418","description":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4419","description":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4419","description":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4421","description":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4421","description":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4423","description":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4423","description":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93701","description":"BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68100","description":"BIOPSY CONJUNCTIVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65410","description":"BIOPSY CORNEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EPIDIDYMIS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54800","description":"BIOPSY EPIDIDYMIS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EPIDIDYMIS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54800","description":"BIOPSY EPIDIDYMIS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68510","description":"BIOPSY LACRIMAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68525","description":"BIOPSY LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS DEEP STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54105","description":"BIOPSY PENIS DEEP STRUCTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS DEEP STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54105","description":"BIOPSY PENIS DEEP STRUCTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54100","description":"BIOPSY PENIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PENIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54100","description":"BIOPSY PENIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55705","description":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55705","description":"BIOPSY PROSTATE ANY APPROACH NONIMAGING-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE INCISIONAL ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55705","description":"BIOPSY PROSTATE INCISIONAL ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.2693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.2693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54505","description":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54505","description":"BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54500","description":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54500","description":"BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOTINIDASE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82261","description":"BIOTINIDASE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93702","description":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93702","description":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86079","description":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86077","description":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86078","description":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2101","description":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2100","description":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.6235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEEDING TIME TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85002","description":"BLEEDING TIME TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15823","description":"BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67700","description":"BLEPHAROTOMY DRAINAGE ABSCESS EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81209","description":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD CLOT RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85170","description":"BLOOD CLOT RETRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85004","description":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85048","description":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85009","description":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RED BLOOD CELL AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85041","description":"BLOOD COUNT RED BLOOD CELL AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85045","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE MANUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85046","description":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SPUN MICROHEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85013","description":"BLOOD COUNT SPUN MICROHEMATOCRIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82803","description":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82274","description":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86902","description":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86904","description":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86905","description":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86900","description":"BLOOD TYPING SEROLOGIC ABO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH (D)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86901","description":"BLOOD TYPING SEROLOGIC RH (D)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86906","description":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1708.0219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2009.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3014.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1708.0219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2009.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3014.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1646.2252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1936.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2905.1033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.3677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1646.2252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1936.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2905.1033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.3677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1804.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2122.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3184.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.7488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1804.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2122.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3184.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.7488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2095.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3143.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2095.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3143.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85097","description":"BONE MARROW SMEAR INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35638","description":"BPG OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1794.6967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.2323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35638","description":"BPG OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1794.6967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.2323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2084.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2084.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1893.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.5933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1893.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.5933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1877.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1877.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.0637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.0637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1957.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1957.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.7373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.7373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1644.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.8414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1644.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.8414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.7413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.7413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.0966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.0966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.1004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.1004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.9701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.9701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.7682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.7682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.3618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.3618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1208.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.0116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1208.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.0116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAF GENE ANALYSIS V600 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81210","description":"BRAF GENE ANALYSIS V600 VARIANT(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81212","description":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81162","description":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81164","description":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81163","description":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81166","description":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81165","description":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81215","description":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81167","description":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81216","description":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81217","description":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/ Equal to  W/INTEG ADHSV ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8031","description":"BREAST PROSTH SILICONE/ Equal to  W/INTEG ADHSV ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS SILICONE/ Equal to  W/O INTEG ADHSV AT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8030","description":"BREAST PROSTHESIS SILICONE/ Equal to  W/O INTEG ADHSV AT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.7152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.5718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.7152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.5718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1428.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1428.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION FREE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2045.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.9173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2045.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.9173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.7152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.5718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2045.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.9173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1428.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.8559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2486.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.7388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1737.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.6774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1737.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.6774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.4319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.4319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.9384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.9384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.8725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.8725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.4498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.4498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.8264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.8264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.0081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.0081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1737.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.6774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2411.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2411.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.8542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2217.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.8542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2217.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1614.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.6786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1614.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.6786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BTK GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81233","description":"BTK GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUNDLE OF HIS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"BUNDLE OF HIS RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BUNDLE OF HIS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93600","description":"BUNDLE OF HIS RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.9438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.9438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.8777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.8777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.1443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.4327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.1443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.4327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.1422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.6628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.1422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.6628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.1422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.6628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.8924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.1649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.0175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.8924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.1649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.0175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.4498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.4498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55715","description":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55715","description":"BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55713","description":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55713","description":"BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55714","description":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.4793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55714","description":"BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.4793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55712","description":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.5378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55712","description":"BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.5378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55709","description":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55709","description":"BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55710","description":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55710","description":"BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55711","description":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55711","description":"BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35638","description":"BYP OTH/THN VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1794.6967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.2323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BYP OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2084.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1893.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.5933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BYP OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1877.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BYP OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.0637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BYP OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.7373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1644.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.8414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.7413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.0966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BYP OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.1004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BYP OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.9701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BYP OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.7682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BYP OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.3618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1208.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.0116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.3725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.3725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2399.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2399.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2591.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2591.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2347.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2347.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1957.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35538","description":"BYPASS W/VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.8567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2364.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBI-ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35538","description":"BYPASS W/VEIN AORTOBI-ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.8567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2364.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35540","description":"BYPASS W/VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2211.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2601.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35540","description":"BYPASS W/VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2211.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2601.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35539","description":"BYPASS W/VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1555.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2333.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35539","description":"BYPASS W/VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1555.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2333.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35537","description":"BYPASS W/VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2221.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.4495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35537","description":"BYPASS W/VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2221.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.4495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1685.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1685.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1422.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.9989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1422.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.9989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.4833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.4833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.2957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.7009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.2957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.7009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.0097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.3055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.0097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.3055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1612.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.0271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1612.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.0271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1676.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.8699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1676.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.8699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.0801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.0801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1705.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.2919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1705.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.2919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.9449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2526.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.1603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.9449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2526.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.1603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.8259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.8259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1958.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1958.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.9168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.8528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.9445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.9168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.8528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.9445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Bundle of His recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"Bundle of His recording","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1880.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2212.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3318.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1880.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2212.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3318.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.0842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.8143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.0842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.8143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.7162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2314.7933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.7162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2314.7933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2751.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2751.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81185","description":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81186","description":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAFFEINE HALOTHANE CONTRACTURE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89049","description":"CAFFEINE HALOTHANE CONTRACTURE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80410","description":"CALCITONIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM AFTER CALCIUM INFUSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82331","description":"CALCIUM AFTER CALCIUM INFUSION TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82330","description":"CALCIUM IONIZED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82310","description":"CALCIUM TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82340","description":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS INFRARED SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82365","description":"CALCULUS INFRARED SPECTROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUALITATIVE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82355","description":"CALCULUS QUALITATIVE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUANTITATIVE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82360","description":"CALCULUS QUANTITATIVE CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS XRAY DIFFRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82370","description":"CALCULUS XRAY DIFFRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81219","description":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67715","description":"CANTHOTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPECITABINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8522","description":"CAPECITABINE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPECITABINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8522","description":"CAPECITABINE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.4836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.0888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.4836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.0888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.4243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.4243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.4687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.2978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.4687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.2978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.7936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.9888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.7936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.9888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.8042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.8042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.4988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.4988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1350.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1350.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.7834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.7834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.0173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.0173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.1502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.1502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81414","description":"CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81413","description":"CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0449U","description":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94780","description":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94780","description":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOHYDRATE DEFICIENT TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82373","description":"CARBOHYDRATE DEFICIENT TRANSFERRIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE BICARBONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82374","description":"CARBON DIOXIDE BICARBONATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82376","description":"CARBOXYHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82375","description":"CARBOXYHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARCINOEMBRYONIC ANTIGEN CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN CEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLIPIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86147","description":"CARDIOLIPIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81595","description":"CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2168.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2551.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.7877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.7877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0540","description":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0540","description":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0539","description":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0539","description":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0541","description":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0541","description":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0542","description":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0542","description":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2049.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2049.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARNITINE QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82379","description":"CARNITINE QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.1053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.1053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4002","description":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4002","description":"CAST SUPPLIES BODY CAST ADULT W/WO HEAD FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4013","description":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4013","description":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4015","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4015","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4026","description":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4026","description":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4025","description":"CAST SUPPLIES HIP SPICA ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4025","description":"CAST SUPPLIES HIP SPICA ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4028","description":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4028","description":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4027","description":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4027","description":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4005","description":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4005","description":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4017","description":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4017","description":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4019","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4019","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4029","description":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4029","description":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4033","description":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4033","description":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4035","description":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4035","description":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4041","description":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4041","description":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4043","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4043","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4039","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4039","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4004","description":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4004","description":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4003","description":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4003","description":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CASTER PIN LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0073","description":"CASTER PIN LOCK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4001","description":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4001","description":"CASTING SPL BODY CAST ADULT W/WO HEAD PLASTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82383","description":"CATECHOLAMINES BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82384","description":"CATECHOLAMINES FRACTIONATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES TOTAL URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82382","description":"CATECHOLAMINES TOTAL URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58340","description":"CATH  and  SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.4026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.4026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHEPSIN-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82387","description":"CATHEPSIN-D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9615","description":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9615","description":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53866","description":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53866","description":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCND1/IGH TRANSLOCATION ALYS MAJOR BP QUAL and QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81168","description":"CCND1/IGH TRANSLOCATION ALYS MAJOR BP QUAL and QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0001","description":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81218","description":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89051","description":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISCELLANEOUS BODY FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89050","description":"CELL COUNT MISCELLANEOUS BODY FLUIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86153","description":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86352","description":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION WRST ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION WRST ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.3745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.5451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.5451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92517","description":"CERVICAL VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92517","description":"CERVICAL VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.7353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.7353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.6791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.6791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.1918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.1918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81220","description":"CFTR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81222","description":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81223","description":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.0181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81224","description":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81221","description":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMILUMINESCENT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"CHEMILUMINESCENT ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67345","description":"CHEMODENERVATION EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64617","description":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64617","description":"CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64647","description":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64647","description":"CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64646","description":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64646","description":"CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTAXIS ASSAY SPECIFY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86155","description":"CHEMOTAXIS ASSAY SPECIFY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9436","description":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9436","description":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9437","description":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9437","description":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81268","description":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81267","description":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMPHENICOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82415","description":"CHLORAMPHENICOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82435","description":"CHLORIDE BLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82438","description":"CHLORIDE OTHER SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82436","description":"CHLORIDE URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORINATED HYDROCARBONS SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82441","description":"CHLORINATED HYDROCARBONS SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2403","description":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2403","description":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.6341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.6341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.3772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.3772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.6433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.6433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.2057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.2057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.8148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.8148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.5425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.5425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82465","description":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82482","description":"CHOLINESTERASE RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82480","description":"CHOLINESTERASE SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHONDROITIN B SULFATE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82485","description":"CHONDROITIN B SULFATE QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80414","description":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88267","description":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88285","description":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88289","description":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88280","description":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88283","description":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYZE 20-25 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88264","description":"CHRMSM ANALYZE 20-25 CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88248","description":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88245","description":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88249","description":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88262","description":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88263","description":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88261","description":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88269","description":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOGENIC SUBSTRATE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"CHROMOGENIC SUBSTRATE ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66720","description":"CILIARY BODY DESTRUCTION CRYOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66740","description":"CILIARY BODY DESTRUCTION CYCLODIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DESTRUCTION DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66700","description":"CILIARY BODY DESTRUCTION DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66710","description":"CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9062","description":"CISPLATIN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.8688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68326","description":"CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.8688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING DEVC USED W/TRACHEOESOPH VOICE PROS PIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8513","description":"CLEANING DEVC USED W/TRACHEOESOPH VOICE PROS PIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.2823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.2823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21401","description":"CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.7527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.2734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.2734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.0643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.6953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.0643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.6953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.3929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.4863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.3929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.4863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.5612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.1036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.8728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.1528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.5612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.1036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.8728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.1528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1455.7032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1712.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2568.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1455.7032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1712.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2568.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.1193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.1193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.5809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.5809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACRIMAL FISTULA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68770","description":"CLOSURE LACRIMAL FISTULA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1424.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2136.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.0838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1424.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2136.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.0838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2181.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.0935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2181.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.0935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1189.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1189.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.8691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.6695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.8691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.6695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.3448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.0343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.8127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.6817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.8127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.6817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2494.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2494.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.2523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.2523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85175","description":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85210","description":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR IX PTC/CHRISTMAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85250","description":"CLOTTING FACTOR IX PTC/CHRISTMAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85220","description":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85230","description":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85240","description":"CLOTTING FACTOR VIII AHG 1 STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85247","description":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII RELATED ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85244","description":"CLOTTING FACTOR VIII RELATED ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85246","description":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85245","description":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR X STUART-PROWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85260","description":"CLOTTING FACTOR X STUART-PROWER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XI PTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85270","description":"CLOTTING FACTOR XI PTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XII HAGEMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85280","description":"CLOTTING FACTOR XII HAGEMAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRIN STABILIZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85290","description":"CLOTTING FACTOR XIII FIBRIN STABILIZING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85291","description":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85293","description":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85300","description":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85303","description":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85302","description":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85306","description":"CLOTTING INHIBITORS PROTEIN S FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85305","description":"CLOTTING INHIBITORS PROTEIN S TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85301","description":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85292","description":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21400","description":"CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27198","description":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27198","description":"CLSD TX PELVIC RING FX W/MANIPULATION W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27197","description":"CLSD TX PELVIC RING FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX PELVIC RING FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27197","description":"CLSD TX PELVIC RING FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2516.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.3411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.6823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2516.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.3411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.6823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2113.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2113.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.1397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.1397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.4455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.4455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.5107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.9593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.5107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.9593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.7219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.7219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM PLUG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68761","description":"CLSR LACRIMAL PUNCTUM PLUG EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68760","description":"CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.4053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.8017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.4053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.8017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.0342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.0342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.6065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.6065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.1404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.0713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.1404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.0713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.2702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.2702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.0863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.0863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.9642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.5392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.9642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.5392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2113.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1470.5009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1730.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2595.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.5002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.8048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.8048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.4493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.4493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1470.5009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1730.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2595.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.5002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1470.5009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1730.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2595.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.5002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MANJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.5508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.5508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.5898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.5898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.5898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.2183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.2183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.3878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.3878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.8634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.8634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.9222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.9222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.7282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.7282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLTX METAR FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.5028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.5028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.4448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.4448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.4903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.4903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.4903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.7678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.7678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CLUBFOOT WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3380","description":"CLUBFOOT WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.7528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.7528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81187","description":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87483","description":"CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6207","description":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6207","description":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2513","description":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2511","description":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2521","description":"CNTC LENS HYDROPHIL TORIC/PRISM BALLST PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"CO DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85397","description":"COAGJ AND FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85396","description":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME ACTIVATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85347","description":"COAGULATION TIME ACTIVATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME LEE AND WHITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85345","description":"COAGULATION TIME LEE AND WHITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85348","description":"COAGULATION TIME OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1281.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1507.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1281.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1507.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8614","description":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18939.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8627","description":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5747.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8619","description":"COCHLEAR IMPL EXT SPEECH PROCESSR/CONTROLLR REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6771.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8628","description":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82542","description":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1777.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.4468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1777.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.4468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1630.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1630.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44158","description":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.6931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2062.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44158","description":"COLCT TTL ABD W/PRCTECT ILEOANAL ANAST  and  RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.6931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2062.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86156","description":"COLD AGGLUTININ SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86157","description":"COLD AGGLUTININ TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.7353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.7353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.7615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.7615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.5514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.8538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.5514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.8538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44157","description":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2009.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44157","description":"COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2009.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.7744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.4555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.7744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.4555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS LINKS ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82523","description":"COLLAGEN CROSS LINKS ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.0692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45398","description":"COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.0692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1410.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2115.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1410.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2115.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45390","description":"COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.2594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.2594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45389","description":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45389","description":"COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44401","description":"COLONOSCOPY STOMA ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44401","description":"COLONOSCOPY STOMA ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44402","description":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44402","description":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.1827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.1827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.5768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.5768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.3268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.3268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.9368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.9368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.9271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.7538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.9271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.7538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.5102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.5102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80418","description":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1706.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1706.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE OR STATIONARY W/FIXED ARMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0163","description":"COMMODE CHAIR MOBILE OR STATIONARY W/FIXED ARMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR XTRA WIDE and /HEVY DUTY STATION/MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0168","description":"COMMODE CHAIR XTRA WIDE and /HEVY DUTY STATION/MOBIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81266","description":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81265","description":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86922","description":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ELECTRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86923","description":"COMPATIBILITY EACH UNIT ELECTRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86920","description":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT INCUBATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86921","description":"COMPATIBILITY EACH UNIT INCUBATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.9336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2812.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPL RPR T-FALLOT W/PULM ATRESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1985.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2978.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.0952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2493.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.2325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.0952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2493.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.2325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.9336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2812.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.9336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2812.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT ANTIGEN EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86160","description":"COMPLEMENT ANTIGEN EACH COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86171","description":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86161","description":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT TOTAL HEMOLYTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86162","description":"COMPLEMENT TOTAL HEMOLYTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1985.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2978.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.8246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1985.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2978.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1569.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1846.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2770.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1569.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1846.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2770.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2298","description":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2887.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.2878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2307.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2714.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4071.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.2878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2307.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2714.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4071.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6204","description":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6204","description":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.7052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93653","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93653","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX SVT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93654","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.1009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93654","description":"COMPRE EP EVAL ABLTJ 3D MAPG TX VT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.1009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93656","description":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93656","description":"COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.7052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.1959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.7052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92025","description":"COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"COMPUTERIZED OPHTHALMIC IMAGING RETINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONCENTRATION INFECTIOUS AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87015","description":"CONCENTRATION INFECTIOUS AGENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4558","description":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4558","description":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.3241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.3241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6443","description":"CONFORM BANDAGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6446","description":"CONFORM BANDGE NON-ELAST NON-ST W GT or equal to 3\"  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6445","description":"CONFORM BANDGE NON-ELAST STERL W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6443","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6445","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6446","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN STERL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6444","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6447","description":"CONFORMING BANDGE NON-ELAST NON-ST W GT or equal to 5\" /YA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6442","description":"CONFORMING BANDGE NON-ELAST NON-ST W LT 3\" PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68360","description":"CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.5491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVAL FLAP TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68362","description":"CONJUNCTIVAL FLAP TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.5491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68325","description":"CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68320","description":"CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.6043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.9503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68750","description":"CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.9503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTIVORHINOSTOMY W/O TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68745","description":"CONJUNCTIVORHINOSTOMY W/O TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68328","description":"CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67882","description":"CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67880","description":"CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.7474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.9103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.7474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.9103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.3008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.3008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.6823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.6823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2512","description":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2510","description":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2524","description":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2524","description":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2525","description":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2525","description":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2523","description":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2520","description":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2599","description":"CONTACT LENS OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2599","description":"CONTACT LENS OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5083","description":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5083","description":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.1083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.1083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.2489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.2489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94644","description":"CONTINUOUS INHALATION TREATMENT 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EA ADDL HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94645","description":"CONTINUOUS INHALATION TREATMENT EACH ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4993","description":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4993","description":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4267","description":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4267","description":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1317.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2091.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2091.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.2838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.2838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3116.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3116.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65430","description":"CORNEA SCRAPING DIAGNOSTIC SMEAR  and /CULTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.6113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.6113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.5963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.5963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1354.2706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2389.8893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.6298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1354.2706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2389.8893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.6298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1476.2307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2605.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1476.2307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2605.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2819.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2819.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3037.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3037.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.9201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3148.0943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.9201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3148.0943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3337.3147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.2191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3337.3147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.2191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54430","description":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.3006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.1188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54430","description":"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.3006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.1188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54435","description":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54435","description":"CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54420","description":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.9883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54420","description":"CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.9883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.5564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.5113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.5564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.5113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION EVERTED PUNCTUM CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68705","description":"CORRECTION EVERTED PUNCTUM CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION LID RETRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67911","description":"CORRECTION LID RETRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67820","description":"CORRECTION TRICHIASIS EPILATION FORCEPS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67825","description":"CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION TRICHIASIS INCCISION LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67830","description":"CORRECTION TRICHIASIS INCCISION LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.9838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28295","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.3963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.8579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.0666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28295","description":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.3963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.8579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28295","description":"CORRJ HLX VLGS BNCTY SESMDC PROX METAR OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.3963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.8579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.9838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.9838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67912","description":"CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67835","description":"CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82528","description":"CORTICOSTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80412","description":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.5889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82530","description":"CORTISOL FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82533","description":"CORTISOL TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.4839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.7363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.4839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.7363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4223.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4223.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COVID-19 vaccine home admin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"COVID-19 vaccine home admin","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1306.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2220.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2612.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3919.0567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.1761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1306.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2220.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2612.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3919.0567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.1761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92132","description":"CPTRIZED OPH DX IMG ANTERIOR SEGMENT UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92133","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI OPTIC NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92134","description":"CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1395.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2463.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.1157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1395.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2463.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.1157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.3554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2764.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.3554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2764.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0113","description":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.6455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0732","description":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1778.3482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1778.3482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2460.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1483.9493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1483.9493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.3442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.0408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1828.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.0408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1828.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2154.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.3103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.2577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2171.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2320.4003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.4668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY OSTEOMYELITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2365.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2365.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2365.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.1856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.1856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.1856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.4013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2167.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.7622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1993.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1852.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.4683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1852.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.4683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1380.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1624.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2436.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1380.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1624.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2436.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2041.9402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2041.9402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.3067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.3067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1382.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.3447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.7564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.1377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2334.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.3793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.3447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.7564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.1377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2334.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.3793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1226.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.6102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1697.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2163.9083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2545.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.6514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.3028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.5942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1226.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.6102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1697.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2163.9083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2545.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.6514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.3028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.5942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.1027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.1027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.2704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.2704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.9685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.9685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.8061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2610.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.0877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2610.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.0877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2597.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.7722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2597.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.7722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.9069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1638.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2458.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.9069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1638.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2458.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2473.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2473.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.0663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.0663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.3283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1787.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2102.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3153.9847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.6641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.3283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1787.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2102.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3153.9847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.6641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.4599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.4599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1685.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2528.3003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.7668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1685.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2528.3003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.3834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.7668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.1524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.1524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.2531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.2531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1246.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1466.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2199.6923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1246.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1466.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2199.6923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.7427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.7427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82552","description":"CREATINE KINASE ISOENZYMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOFORMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82554","description":"CREATINE KINASE ISOFORMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE MB FRACTION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82553","description":"CREATINE KINASE MB FRACTION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82550","description":"CREATINE KINASE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1708.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2010.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3015.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1708.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2010.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3015.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.0039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2194.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2581.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.5905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.0039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2194.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2581.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.5905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1848.1622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2174.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3261.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1848.1622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2174.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3261.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.5771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.8899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2454.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.8899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2454.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2410.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2410.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2410.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2642.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.9133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2642.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.9133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.9121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2218.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.9121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2218.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2246.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2246.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2460.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2460.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1613.9256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1898.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2848.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1613.9256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1898.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2848.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2243.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.9413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2243.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.9413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2246.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2243.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.9413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1613.9256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1898.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2848.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2314.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3471.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.5001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2314.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3471.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.5001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2157.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2537.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3806.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2157.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2537.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3806.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.4013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2167.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.4013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2167.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.7622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1993.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.7622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1993.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2320.4003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.4668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2320.4003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.4668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.2577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2171.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.2577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2171.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2154.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.3103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2154.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.3103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.3442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.3442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65772","description":"CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65775","description":"CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7631","description":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7631","description":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.1472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.6127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.1472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.6127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.2149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.5558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.2149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.5558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.3691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.0043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.3691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.0043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.5418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.5418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1504.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1504.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.5083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.3285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.5083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.3285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.8077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.8077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.2216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.7153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.2216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.7153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.6097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.6097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.4743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.4743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82595","description":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88240","description":"CRYOPRSRV FRZING AND STORAGE CELLS EA CELL LINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOSURGICAL ABLATION PROSTATE W/US  and  MONITORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55873","description":"CRYOSURGICAL ABLATION PROSTATE W/US  and  MONITORI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2748.7037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3233.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.2807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.4807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4850.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.9659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOSURGICAL ABLATION PROSTATE W/US  and  MONITORI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55873","description":"CRYOSURGICAL ABLATION PROSTATE W/US  and  MONITORI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2748.7037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3233.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.2807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.4807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4850.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.9659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89060","description":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81188","description":"CSTB GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81189","description":"CSTB GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81190","description":"CSTB GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.0173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2837.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.0173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2837.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1988.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2983.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1988.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2983.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.8302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.8302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82615","description":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTM BRST PROSTH POST MAST MOLDED TO PT MDL AT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8035","description":"CSTM BRST PROSTH POST MAST MOLDED TO PT MDL AT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2708.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1277.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1277.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74263","description":"CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74262","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74261","description":"CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75571","description":"CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"CT THORAX W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"CT THORAX W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"CT THORAX W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0720","description":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1575.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87077","description":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87076","description":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87071","description":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87073","description":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87046","description":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87045","description":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87070","description":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87101","description":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87081","description":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87084","description":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87075","description":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87040","description":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87086","description":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87088","description":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE CHLAMYDIA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87110","description":"CULTURE CHLAMYDIA ANY SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87103","description":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87102","description":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87107","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87106","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87118","description":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOPLASMA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87109","description":"CULTURE MYCOPLASMA ANY SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87116","description":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87143","description":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87154","description":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87152","description":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87140","description":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87147","description":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87149","description":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87158","description":"CULTURE TYPING OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87150","description":"CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87153","description":"CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4440","description":"CURAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4440","description":"CURAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5705","description":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.6895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5704","description":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5707","description":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5706","description":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.0083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.0083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82608","description":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82607","description":"CYANOCOBALAMIN VITAMIN B-12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7515","description":"CYCLOSPORINE ORAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7515","description":"CYCLOSPORINE ORAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"CYCLOSPORINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DISK PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4362","description":"CYGNUS DISK PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DISK PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4362","description":"CYGNUS DISK PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYMETRA INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4112","description":"CYMETRA INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYMETRA INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4112","description":"CYMETRA INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81225","description":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81227","description":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81226","description":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81230","description":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81231","description":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82610","description":"CYSTATIN C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.5021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.5021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1455.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1455.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.5716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.5716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2273.1817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.7272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2273.1817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.7272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.3004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2455.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.3004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2455.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2201.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.7768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2201.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.7768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52443","description":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2270.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3860.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4541.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6812.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52443","description":"CYSTO 1ST TRURL ANT PRST8 COMIS NONRX BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2270.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3860.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4541.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6812.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO BLADDER W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTO BLADDER W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1547.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1547.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1547.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53865","description":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3277.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53865","description":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3277.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52284","description":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.3842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3030.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52284","description":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.3842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3030.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52356","description":"CYSTO/URETERO W/LITHOTRIPSY  and INDWELL STENT INSRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.8069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.8069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.2183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.2183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.7858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.7858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.8723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.8723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81354","description":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.7776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.0325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81228","description":"CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81349","description":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.8756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81195","description":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.1974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88291","description":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81228","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81277","description":"CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88143","description":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88142","description":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88141","description":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88108","description":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88173","description":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88172","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88177","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88106","description":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88104","description":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88120","description":"CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88121","description":"CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88112","description":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88162","description":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88161","description":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88160","description":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88148","description":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88147","description":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9130","description":"DACARBAZINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.9133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68720","description":"DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.9133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FLATRATE","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01996","description":"DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FLATRATE","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK ADAPTATION XM W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DARK ADAPTATION XM W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87164","description":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.3973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.3522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.3522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.3522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.0845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.9698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.6502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.9698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.6502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.7727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.7727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.8337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.8337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.3938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.3938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.5953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.5953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.9913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.9913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.1443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.1443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64728","description":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64728","description":"DCMPRN MEDIAN NRV AT CARPL TUNL PERQ BALO DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1711.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1711.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62330","description":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62330","description":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62331","description":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62331","description":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88311","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.3878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.3878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.2784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1281.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1922.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.2784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1281.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1922.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1757.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.8634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1757.1803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.8634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.9394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.9394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.6288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.2689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.6288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.2689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82626","description":"DEHYDROEPIANDROSTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE-SULFATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49436","description":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49436","description":"DELAYED CREATION EXIT SITE EMBEDDED CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE LENS FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2702","description":"DELUXE LENS FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE LENS FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2702","description":"DELUXE LENS FEATURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYCORTISOL 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82634","description":"DEOXYCORTISOL 11-","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYRIBONUCLEASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86215","description":"DEOXYRIBONUCLEASE ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4429","description":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4429","description":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4426","description":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4426","description":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMINATION OF VENOUS PRESSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93770","description":"DERMINATION OF VENOUS PRESSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1650.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1941.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2912.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1650.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1941.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2912.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESOXYCORTICOSTERONE 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82633","description":"DESOXYCORTICOSTERONE 11-","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68135","description":"DESTRUCTION LESION CONJUNCTIVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION LID MARGIN  LT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67850","description":"DESTRUCTION LESION LID MARGIN  LT  1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.4808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17286","description":"DESTRUCTION MAL LESION F/E/E/N/L/M  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.4808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17281","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17282","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17283","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17284","description":"DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17280","description":"DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.9227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.9227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67227","description":"DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8540","description":"DEXAMETHASONE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8540","description":"DEXAMETHASONE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMETHASONE SUPPRESSION PANEL 48 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80420","description":"DEXMETHASONE SUPPRESSION PANEL 48 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0488T","description":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0488T","description":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62270","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.3157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2427.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.3157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2427.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIHYDROTESTOSTERONE (DHT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82642","description":"DIHYDROTESTOSTERONE (DHT)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68801","description":"DILATION LACRIMAL PUNCTUM W/WO IRRGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83722","description":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.6549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.6549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.5011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.5011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.7819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.7819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2348.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2348.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.8083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2459.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.8873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.8083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2459.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.8873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.5179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2086.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.5179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2086.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.8835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.8835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1906.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1906.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.7495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.7495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.8733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.3282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.8733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.3282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.6887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.6887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.3204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2878.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.6003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.3204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2878.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.6003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.9835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.4753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.9835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1498.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1762.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2644.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.4067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1498.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1762.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2644.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.4067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2641.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2641.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.7207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.7207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1705.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.1848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1705.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.1848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.3576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.3576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1481.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.9063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1481.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.9063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.0002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.0002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.1843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.1974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.1843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.1974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1656.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.4191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1656.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.4191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1189.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1784.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.9038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1189.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1784.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.9038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION SECONDARY MEMBRANOUS CATARACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66820","description":"DISCISSION SECONDARY MEMBRANOUS CATARACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67030","description":"DISCISSION VITREOUS STRANS PARS PLANA APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4535","description":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4535","description":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.7532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.7532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1651.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.8487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1651.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.8487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.1638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.4043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.3291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.4043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.3291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.2846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.2846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMD DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81161","description":"DMD DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81239","description":"DMPK GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81234","description":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86225","description":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY SINGLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86226","description":"DNA ANTIBODY SINGLE STRANDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1317.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.6505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1317.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.6505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.4198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.7099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.4198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.7099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2283.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4029.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2283.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4029.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1552.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2639.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3105.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4657.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1552.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2639.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3105.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4657.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1673.0752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1673.0752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7639","description":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DPYD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81232","description":"DPYD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.7638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.7638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.4449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.8222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.8627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.4449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.8222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.8627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SCROTAL WALL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55100","description":"DRAINAGE SCROTAL WALL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SCROTAL WALL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55100","description":"DRAINAGE SCROTAL WALL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.0053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.0053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.6888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.6888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71399.9286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83999.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71399.9286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83999.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4427","description":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4427","description":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4428","description":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4428","description":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80143","description":"DRUG ASSAY ACETAMINOPHEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ADALIMUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80145","description":"DRUG ASSAY ADALIMUMAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY AMIODARONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80151","description":"DRUG ASSAY AMIODARONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CAFFEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80155","description":"DRUG ASSAY CAFFEINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80161","description":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80157","description":"DRUG ASSAY CARBAMAZEPINE FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80156","description":"DRUG ASSAY CARBAMAZEPINE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CLOZAPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80159","description":"DRUG ASSAY CLOZAPINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CYCLOSPORINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80158","description":"DRUG ASSAY CYCLOSPORINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY EVEROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80169","description":"DRUG ASSAY EVEROLIMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FELBAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80167","description":"DRUG ASSAY FELBAMATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FLECAINIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80181","description":"DRUG ASSAY FLECAINIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY HYDROXYCHLOROQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80220","description":"DRUG ASSAY HYDROXYCHLOROQUINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY INFLIXIMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80230","description":"DRUG ASSAY INFLIXIMAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ITRACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80189","description":"DRUG ASSAY ITRACONAZOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LACOSAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80235","description":"DRUG ASSAY LACOSAMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LEFLUNOMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80193","description":"DRUG ASSAY LEFLUNOMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY METHOTREXATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80204","description":"DRUG ASSAY METHOTREXATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY POSACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80187","description":"DRUG ASSAY POSACONAZOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY RUFINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80210","description":"DRUG ASSAY RUFINAMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY SALICYLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80179","description":"DRUG ASSAY SALICYLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80164","description":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VEDOLIZUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80280","description":"DRUG ASSAY VEDOLIZUMAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VORICONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80285","description":"DRUG ASSAY VORICONAZOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80165","description":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE AMIKACIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80150","description":"DRUG SCREEN QUANTITATIVE AMIKACIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80163","description":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80162","description":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80168","description":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GABAPENTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80171","description":"DRUG SCREEN QUANTITATIVE GABAPENTIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GENTAMICIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80170","description":"DRUG SCREEN QUANTITATIVE GENTAMICIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80173","description":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80175","description":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80177","description":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LIDOCAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80176","description":"DRUG SCREEN QUANTITATIVE LIDOCAINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LITHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80178","description":"DRUG SCREEN QUANTITATIVE LITHIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80180","description":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80183","description":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80184","description":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80186","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80185","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PRIMIDONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80188","description":"DRUG SCREEN QUANTITATIVE PRIMIDONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80190","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80192","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE QUINIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80194","description":"DRUG SCREEN QUANTITATIVE QUINIDINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE SIROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80195","description":"DRUG SCREEN QUANTITATIVE SIROLIMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80197","description":"DRUG SCREEN QUANTITATIVE TACROLIMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80198","description":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TIAGABINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80199","description":"DRUG SCREEN QUANTITATIVE TIAGABINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80200","description":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80201","description":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80202","description":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80203","description":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80307","description":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80306","description":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80306","description":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0199","description":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRY PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0184","description":"DRY PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1395.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1395.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CYST/LESION IRIS/CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66770","description":"DSTRJ CYST/LESION IRIS/CILIARY BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.9911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.3485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67220","description":"DSTRJ LESION CHOROID PC 1 OR GT  SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.9911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.9866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.3485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67225","description":"DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67221","description":"DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65450","description":"DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54065","description":"DSTRJ LESION PENIS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54065","description":"DSTRJ LESION PENIS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54050","description":"DSTRJ LESION PENIS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54050","description":"DSTRJ LESION PENIS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54056","description":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54056","description":"DSTRJ LESION PENIS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54060","description":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54060","description":"DSTRJ LESION PENIS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67218","description":"DSTRJ LESION RETINA 1 OR GT  SESS RADJ IMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67208","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67210","description":"DSTRJ LOCLZD LESION RETINA 1 OR GT  SESS PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.4288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.4288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.5965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.5965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4366","description":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4366","description":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.8193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.8193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4376","description":"DUOGRAFT AA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4376","description":"DUOGRAFT AA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4375","description":"DUOGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4375","description":"DUOGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.0541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.0541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.5499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.5499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76513","description":"DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY AXIAL SKELETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STUDY AXIAL SKELETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1815","description":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3835.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3835.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4491.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4491.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1822","description":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1823","description":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1803","description":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1804","description":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1437.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1826","description":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1827","description":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1813","description":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1814","description":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1828","description":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1829","description":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1807","description":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1808","description":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93355","description":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93355","description":"ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.6108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.6108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.4926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.4926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.2193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.2193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.1483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.1483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.7962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.7962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.3501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.3501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66711","description":"ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95725","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95725","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/O VID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95717","description":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95717","description":"EEG PHYS/QHP 2-12 HR WITHOUT VIDEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.4629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.4629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.4226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.4226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.5808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.5808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43252","description":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43252","description":"EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1748.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2057.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3085.6455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1748.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2057.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3085.6455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43254","description":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43254","description":"EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43253","description":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43253","description":"EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EGFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81235","description":"EGFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3033.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11291.7735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2390.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10191.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3761","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3702","description":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82664","description":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8033.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6466.2885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8918.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9318.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7180","description":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36938.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7181","description":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39657.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HAND SWTCH/MYOELEC CNTRL INDEP ARTC DIG MTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6880","description":"ELEC HAND SWTCH/MYOELEC CNTRL INDEP ARTC DIG MTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23647.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0530","description":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0766","description":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13493.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134933.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6092.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3517.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HEAT PAD MOIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0215","description":"ELECTRIC HEAT PAD MOIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HEAT PAD STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0210","description":"ELECTRIC HEAT PAD STANDARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3804.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4595","description":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4595","description":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92270","description":"ELECTRO-OCULOGRAPY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.6506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.6506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"ELECTROLYTE PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88348","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6156.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC WRIST ROTATOR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7259","description":"ELECTRONIC WRIST ROTATOR ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4195.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.6248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.6248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1726.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.2871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1726.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.2871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.2623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.2623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.8531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.8531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.7357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.7357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.7177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.7177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1372.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.9387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1372.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.9387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.5043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.2245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.2245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.4634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.4634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.406,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.7246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.7246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86231","description":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5973","description":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17399.2455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5827","description":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6825.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34841","description":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.1441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34841","description":"ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.1441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34842","description":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34842","description":"ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34843","description":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34843","description":"ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34844","description":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34844","description":"ENDOVASC VISCER AORTA REPR FENEST 4 PLUS  ENDOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2512.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2512.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36473","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1775.9542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36473","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1775.9542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36474","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36474","description":"ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1659.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.1684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1659.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.1684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.0192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.0192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.2269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4148","description":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4036","description":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4035","description":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4034","description":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9002","description":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1795.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1795.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.7491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.4695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.7491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.4695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1307.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.6501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1307.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.6501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.1022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.1602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.8198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.8198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4149","description":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4152","description":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4154","description":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4150","description":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4155","description":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4102","description":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4153","description":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4103","description":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1534.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1805.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2707.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.6063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1534.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1805.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2707.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.6063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1569.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2354.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1569.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2354.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.2826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.2826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.4935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65105","description":"ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.4935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.4518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65103","description":"ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.4518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.2456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENUCLEATION OF EYE W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65101","description":"ENUCLEATION OF EYE W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.2456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3740","description":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3730","description":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3720","description":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.6332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.6332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93644","description":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93644","description":"EP EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.6332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93644","description":"EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93653","description":"EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93654","description":"EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.1009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93656","description":"EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4187","description":"EPICORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4187","description":"EPICORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54861","description":"EPIDIDYMECTOMY BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.5302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.6014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54861","description":"EPIDIDYMECTOMY BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.5302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.6014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54860","description":"EPIDIDYMECTOMY UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMECTOMY UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54860","description":"EPIDIDYMECTOMY UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54901","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54901","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54900","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.2923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54900","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.2923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.8602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.8602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.8602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIEFFECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4278","description":"EPIEFFECT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIEFFECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4278","description":"EPIEFFECT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81419","description":"EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.3393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.3393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.3393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43277","description":"ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43276","description":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43276","description":"ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL and WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43275","description":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43275","description":"ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43274","description":"ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43278","description":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43278","description":"ERCP TUMOR/POLYP/LESION ABLATION W/DILATION and WIRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY FIRST INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY FIRST INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.1008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.1008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2598.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3057.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4585.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.2897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2598.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3057.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4585.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.2897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2273.8044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2675.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4012.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2273.8044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2675.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4012.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1594.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2711.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3189.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4784.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1594.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2711.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3189.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4784.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.1083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.6908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.2245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.6908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.2245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.6947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.6947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.3058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.3058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.7574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.1013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.7574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.1013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43197","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43197","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43198","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43198","description":"ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43196","description":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43196","description":"ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43194","description":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43194","description":"ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43195","description":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43195","description":"ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43191","description":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43191","description":"ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43192","description":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43192","description":"ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43193","description":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43193","description":"ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43206","description":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43206","description":"ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43180","description":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.0491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43180","description":"ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.0491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.5202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.5202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.4708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.4708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.0366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.0366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.1269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.1269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.0301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2116.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3174.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.0301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2116.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3174.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2325.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3487.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.2853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2325.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3487.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.2853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.4761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.6327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.0192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.6327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.0192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90953","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90953","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90952","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90952","description":"ESRD RELATED SVC MONTHLY  LT 2 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.1465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.1465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.8978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.8978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.4417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.4417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.3041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.3041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EUGLOBULIN LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"EUGLOBULIN LYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84112","description":"EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.5248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.5248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2367.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2367.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.6057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1967.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1967.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1678.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1975.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2962.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.5198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1678.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1975.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2962.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.5198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.9254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.9254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1981.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2972.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.8535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1981.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2972.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.8535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1477.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.3614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1477.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.3614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2380.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2380.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2166.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.1218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1859.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.8953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.8953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1859.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1859.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2166.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.1218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2166.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.1218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1458.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2188.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1458.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2188.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.2545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.2545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVEROLIMUS ORAL 0. 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7527","description":"EVEROLIMUS ORAL 0. 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVEROLIMUS ORAL 0. 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7527","description":"EVEROLIMUS ORAL 0. 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65093","description":"EVISCERATION OCULAR CONTENTS W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65091","description":"EVISCERATION OCULAR CONTENTS W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3765","description":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.7425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3763","description":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXAM  AND  SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88363","description":"EXAM  AND  SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.2123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.2123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11441","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11442","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11443","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11444","description":"EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11446","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M  GT  4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11440","description":"EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.6077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.6077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BARTHOLINS GLAND/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXC BARTHOLINS GLAND/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2197.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.6533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2197.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.6533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.1813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.4008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.1813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.4008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.7509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.7509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":967.7021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":967.7021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.4821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.4821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.4413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.4413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.3568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.3568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67808","description":"EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.4402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.4402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1214.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.4402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.1096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.7574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.7574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.5017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.5017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.2072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.2072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1091.1442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1091.1442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1520.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2281.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1520.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2281.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.2788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.2788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.1357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.2153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68540","description":"EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.2153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68550","description":"EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.7835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.7835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67840","description":"EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55520","description":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55520","description":"EXC LESION SPERMATIC CORD SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.6863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.6863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.7793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.7793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.0927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.0927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.8211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.6843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.8211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.6843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.4898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.0565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.0565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.3645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.3645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.7688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.7688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54112","description":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.0561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54112","description":"EXC PENILE PLAQUE GRAFT  GT  5 CM LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.0561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54111","description":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.3275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54111","description":"EXC PENILE PLAQUE GRAFT  and /5 CM LENGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.3275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.3964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.8803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.3964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.8803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.0871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1860.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.0513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.0871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1860.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.0513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.8883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.8883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.8952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.8952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.5292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.5292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.4593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.9172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.4593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.4798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.4798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25109","description":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25109","description":"EXC TENDON FOREARM and /WRIST FLEXOR/EXTENSOR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1776.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1776.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.9699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.4919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.9699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.4919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.8928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.8887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.8887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.8564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.8564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.8168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.8168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.7564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55535","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55535","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55530","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55530","description":"EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55540","description":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55540","description":"EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.4713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.4713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTRPARENCHYMAL LESION TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54512","description":"EXC XTRPARENCHYMAL LESION TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.3955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTRPARENCHYMAL LESION TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54512","description":"EXC XTRPARENCHYMAL LESION TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.3955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.7123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.7123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.3353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.3353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.7998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.7998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.6028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.6028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.7838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.7838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.9577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.9577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.2722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.3816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.2722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.3816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.7927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66986","description":"EXCHANGE INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.7927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"EXCHNG TRANSFUSION BLOOD NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67966","description":"EXCISION  AND  REPAIR EYELID ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67961","description":"EXCISION  and  REPAIR EYELID  LT  ONE-FOURTH LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.3847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.3847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.9708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.9708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.0834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.3922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.8778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.3922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.8778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.4687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.7683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.4687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1594.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.7901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1594.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.7901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.2578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.4401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.8942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.2578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.4401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.8942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2233.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2233.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2014.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2014.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67805","description":"EXCISION CHALAZION MULTIPLE DIFFERENT LIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION MULTIPLE SAME LID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67801","description":"EXCISION CHALAZION MULTIPLE SAME LID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHALAZION SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67800","description":"EXCISION CHALAZION SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.1096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.1096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1711.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1711.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.9201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.9201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15847","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15847","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15839","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.1678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15839","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.1678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.5998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.6533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.0702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.5998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.6533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.9222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.9222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.4613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.8536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.8536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.5509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68505","description":"EXCISION LACRIMAL GLAND XCPT TUMOR PRTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.5509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.3738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68500","description":"EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.3738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68520","description":"EXCISION LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  GT  1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68115","description":"EXCISION LESION CONJUNCTIVA  GT  1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA  LT 1 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68110","description":"EXCISION LESION CONJUNCTIVA  LT 1 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68130","description":"EXCISION LESION CONJUNCTIVA ADJACENT SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION CORNEA XCP PTERYGIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65400","description":"EXCISION LESION CORNEA XCP PTERYGIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66130","description":"EXCISION LESION SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.1358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.0769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.1358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.9528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.9528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LOCAL LESION EPIDIDYMIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54830","description":"EXCISION LOCAL LESION EPIDIDYMIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LOCAL LESION EPIDIDYMIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54830","description":"EXCISION LOCAL LESION EPIDIDYMIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11646","description":"EXCISION MALIGNANT LESION F/E/E/N/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11640","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11641","description":"EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11642","description":"EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11643","description":"EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11644","description":"EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.2421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.2421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.9603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.9603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.8906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.8906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.7345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.7345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULLERIAN DUCT CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55680","description":"EXCISION MULLERIAN DUCT CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULLERIAN DUCT CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55680","description":"EXCISION MULLERIAN DUCT CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL MATRIX PERMANENT REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL MATRIX PERMANENT REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF PENILE PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54110","description":"EXCISION OF PENILE PLAQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF PENILE PLAQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54110","description":"EXCISION OF PENILE PLAQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.6722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.6722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.3483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.6323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.6323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1091.1442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54840","description":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54840","description":"EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.2118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.1533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.2118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.1183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.1183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.3298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.1545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.3298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.1545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.7878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.7878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.2621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.2621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.9675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.9675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.3642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.3642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.2418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.2173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.4058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.2418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.2173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65426","description":"EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65420","description":"EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33269","description":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33269","description":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33268","description":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33268","description":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33267","description":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33267","description":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.1052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65110","description":"EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.1052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.7017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65112","description":"EXENTERATION ORBIT RMVL ORBIT CONTENTS  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE TEST FOR BRONCHOSPASM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"EXERCISE TEST FOR BRONCHOSPASM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7045","description":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7045","description":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65114","description":"EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81417","description":"EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81415","description":"EXOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3199.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3764.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81416","description":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8032.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7049","description":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7049","description":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.5429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.5429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1452.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2178.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1452.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2178.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.2793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.2793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.5789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.5789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.9903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.9903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.1028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.8873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.1028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.8873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54560","description":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54560","description":"EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54550","description":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54550","description":"EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.5514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.5514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55860","description":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.1871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55860","description":"EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.1871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55865","description":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.7153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.2859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55865","description":"EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.7153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.2859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55862","description":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55862","description":"EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXPRESSION CONJUNCTIVAL FOLLICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68040","description":"EXPRESSION CONJUNCTIVAL FOLLICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARG SYS BAT EXT W/IMPL NEUROSTIM REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8695","description":"EXT RECHARG SYS BAT EXT W/IMPL NEUROSTIM REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8689","description":"EXT RECHARG SYS BAT INT IMPL NEUROSTIM REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENDED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92083","description":"EXTENDED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.3346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.6493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT  SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.3346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.6493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3568.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3568.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.8708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.6123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.8708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.6123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG SCANNING ANALYSIS REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"EXTERNAL ECG SCANNING ANALYSIS REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0743","description":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1994.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6590","description":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6590","description":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0734","description":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3692.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6591","description":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6591","description":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1457.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.9557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1457.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.9557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE GLASS CASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE GLASS CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81237","description":"EZH2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81236","description":"EZH2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrolyte panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"Electrolyte panel","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"Etoposide oral 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0408","description":"F/U IP CNSLT CMPLX PHYS 35 MIN OR GT PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0407","description":"F/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0406","description":"F/U IP CNSLT LTD PHYS 15 MIN W/PT VIA TELEHEALTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F2 GENE ANALYSIS 20210G  GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81240","description":"F2 GENE ANALYSIS 20210G  GT A VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81241","description":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F9 FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81238","description":"F9 FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR INHIBITOR TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"FACTOR INHIBITOR TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FANCC GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81242","description":"FANCC GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.3539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.3539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.0404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.9113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.9113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.1263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.1263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FAT DIFFIAL FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82715","description":"FAT DIFFIAL FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT STAIN FECES URINE/RESPIR SECRETIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89125","description":"FAT STAIN FECES URINE/RESPIR SECRETIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82705","description":"FAT/LIPIDS FECES QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82710","description":"FAT/LIPIDS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FATTY ACIDS NONESTERIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82725","description":"FATTY ACIDS NONESTERIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85410","description":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85415","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85421","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85420","description":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APRVD NERVE STIM FOR TX NAUSEA  and  VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0765","description":"FDA-APRVD NERVE STIM FOR TX NAUSEA  and  VOMITING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERN TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0114","description":"FERN TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0609","description":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0609","description":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81507","description":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81422","description":"FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83663","description":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FOAM STABILITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83662","description":"FETAL LUNG MATURITY FOAM STABILITY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83664","description":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83661","description":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.1713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85378","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85379","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85380","description":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85370","description":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85362","description":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85366","description":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85384","description":"FIBRINOGEN ACTIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85385","description":"FIBRINOGEN ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85390","description":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85400","description":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILGRASTIM G-CSF, 300 MCG, INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FILGRASTIM G-CSF, 300 MCG, INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7013","description":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7013","description":"FILTER DISPOSABL W/AREOSOL COMPRESS/US GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERED SPEECH TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92571","description":"FILTERED SPEECH TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67415","description":"FINE NEEDLE ASPIRATION ORBITAL CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3935","description":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92071","description":"FIT CONTACT LENS TX OCULAR SURFACE DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92072","description":"FITTING CONTACT LENS FOR MGMT OF KERATOCONUS 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92072","description":"FITTING CONTACT LENS FOR MNGT OF KERATOCONUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92354","description":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54620","description":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54620","description":"FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0435","description":"FIXED WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0435","description":"FIXED WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.7303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.6397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.6397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.5822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.5822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88182","description":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88184","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88185","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88187","description":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88188","description":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88189","description":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81245","description":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81246","description":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7503","description":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7503","description":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7504","description":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7504","description":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92235","description":"FLUORESCEIN ANGRPH W/MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN ICG ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92242","description":"FLUORESCEIN and ICG ANGRPH MULTIFRAME IMG I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86255","description":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86256","description":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29660.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29660.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81244","description":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6211","description":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6211","description":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4100","description":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL/MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3090","description":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL/MT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3080","description":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3070","description":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3050","description":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3040","description":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL/MT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3060","description":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL/MT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4398","description":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3001","description":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3003","description":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3020","description":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3002","description":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE/EQUL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0175","description":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3251","description":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54450","description":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54450","description":"FORESKN MANJ W/LSS PREPUTIAL ADS and STRETCHING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS/NMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0731","description":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS/NMES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7606","description":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2449.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3674.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2449.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3674.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.4703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.7335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRAMES PURCHASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2020","description":"FRAMES PURCHASES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2756.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.7133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2756.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.7133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2079.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2079.9607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2893.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2893.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.8216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2362.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3543.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.8216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2362.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3543.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1153.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2306.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3459.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.6442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1153.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2306.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3459.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.6442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.9129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2382.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3573.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2024.9129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2382.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3573.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.6417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1840.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2761.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.6417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1840.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2761.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOTOMY PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54164","description":"FRENULOTOMY PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOTOMY PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54164","description":"FRENULOTOMY PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA THAWING EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86927","description":"FRESH FROZEN PLASMA THAWING EACH UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.2858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.2858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.9561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.9561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15576","description":"FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86930","description":"FROZEN BLOOD EACH UNIT FREEZING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86932","description":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT THAWING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86931","description":"FROZEN BLOOD EACH UNIT THAWING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.2616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66155","description":"FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.2616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.1932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66170","description":"FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66150","description":"FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66172","description":"FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66160","description":"FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3010","description":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15261","description":"FTH/GFT FREE W/DIR CLSR N/E/E/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.1044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15260","description":"FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.1044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.4671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82731","description":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12988.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12988.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92250","description":"FUNDUS PHOTOGRAPHY W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.2518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.2518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS CHARACTERIZATION ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81285","description":"FXN GENE ANALYSIS CHARACTERIZATION ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81284","description":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81286","description":"FXN GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81289","description":"FXN GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"Face tent","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Fern test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0114","description":"Fern test","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PC GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81250","description":"G6PC GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81247","description":"G6PD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81249","description":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81248","description":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82775","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82776","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALECTIN-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82777","description":"GALECTIN-3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82787","description":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82810","description":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82805","description":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82800","description":"GASES BLOOD PH ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7700","description":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82930","description":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.7795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.7795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.8519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2296.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.6233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.7795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.5329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIN AFTER SECRETIN STIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82938","description":"GASTRIN AFTER SECRETIN STIMULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.0559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.9577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.2783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.9577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.2137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.2137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN NEONATAL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPN NEONATAL FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4088","description":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE STANDARD ANY MATERIAL/TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4087","description":"GASTROSTOMY/J-TUBE STANDARD ANY MATERIAL/TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.8208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.1953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.8208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.1953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6220","description":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6220","description":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6217","description":"GAUZE NON-IMPREG NONSTERL  GT 16  LT or equal to 48 SQ W/O","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6216","description":"GAUZE NON-IMPREG NONSTERL 16 SQ OR LT  W/O ADHES EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6403","description":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6403","description":"GAUZE NON-IMPREG STERL  GT  16  LT or equal to  48 SQ W/O","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6402","description":"GAUZE NON-IMPREG STERL 16 SQ OR LT  W/O ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81251","description":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"GEL PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0196","description":"GEL PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL/GEL-LIKE PRSS PAD MATTRSS STD LEN and WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0185","description":"GEL/GEL-LIKE PRSS PAD MATTRSS STD LEN and WDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8515","description":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GELATIN CAPS/EQUVALNT W/TRACHEOESOPH VOICE PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8512","description":"GELATIN CAPS/EQUVALNT W/TRACHEOESOPH VOICE PROS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76633.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76742.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76633.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76742.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1954.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2299.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2612","description":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3854","description":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3854","description":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0425U","description":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2740.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3224.3295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0094U","description":"GENOME RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5075.3351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5970.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81427","description":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.7667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1840.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81425","description":"GENOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3367.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3962.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81426","description":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1813.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2134.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0426U","description":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5075.3351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5970.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.1032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2576.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.8843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.1032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2576.6527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.8843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2241.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2241.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91112","description":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91112","description":"GI TRANSIT  and  PRES MEAS WIRELESS CAPSULE W/INTERP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81252","description":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81253","description":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81254","description":"GJB6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1113.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.1382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1113.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.1382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1865.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.9391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.8783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1865.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.9391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.8783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.9286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1601.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2401.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.5463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.9286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1601.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2401.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.5463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1982.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.9067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1982.7202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.9067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1418.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2127.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.8389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1418.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2127.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1674.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2511.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.1388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1674.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2511.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.1388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.7104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1907.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.7104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1907.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82955","description":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82960","description":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BLOOD REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82948","description":"GLUCOSE BLOOD REAGENT STRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BODY FLUID OTHER THAN BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82945","description":"GLUCOSE BODY FLUID OTHER THAN BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE POST GLUCOSE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82950","description":"GLUCOSE POST GLUCOSE DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82952","description":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL INSULINOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80422","description":"GLUCOSE TOLERANCE PANEL INSULINOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80424","description":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82946","description":"GLUCOSE TOLERANCE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82951","description":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84704","description":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84703","description":"GONADOTROPIN CHORIONIC QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84702","description":"GONADOTROPIN CHORIONIC QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83001","description":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN LUTEINIZING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83002","description":"GONADOTROPIN LUTEINIZING HORMONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80426","description":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOSCOPY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92020","description":"GONIOSCOPY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.2979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9202","description":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1324.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9202","description":"GOSERELIN ACETATE IMPLANT PER 3.6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1324.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6545","description":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6545","description":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6531","description":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6531","description":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6532","description":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6532","description":"GRADIENT COMP STK BLW KNEE 40-50MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6535","description":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6535","description":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6538","description":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6538","description":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6530","description":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6530","description":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6531","description":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6532","description":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6533","description":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6533","description":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6534","description":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6534","description":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6535","description":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6539","description":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6539","description":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6540","description":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6540","description":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6536","description":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6536","description":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6537","description":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6537","description":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6538","description":"GRADIENT COMPRS STK FULL LEN/CHAP 40-50 MMHG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6545","description":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4392","description":"GRAFIX DUO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4392","description":"GRAFIX DUO PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1947.2119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2290.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3436.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.7094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1947.2119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2290.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3436.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.5873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.7094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1457.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.8927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.6385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1457.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.8927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.6385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.2793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.7916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.2793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.7916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.6404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.6404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.2158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.0755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.6889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.2158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.0755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.0642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.0642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4113","description":"GRAFTJACKET XPRESS INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":965.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4113","description":"GRAFTJACKET XPRESS INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":965.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.3841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1915.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2873.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.3841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1915.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2873.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUND MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0425","description":"GROUND MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUND MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0425","description":"GROUND MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0543","description":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0543","description":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE HUMAN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86277","description":"GROWTH HORMONE HUMAN ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80428","description":"GROWTH HORMONE STIMULATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80430","description":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH STIMULATION EXPRESSED GENE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83006","description":"GROWTH STIMULATION EXPRESSED GENE 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78266","description":"GSTR EMPTYING IMG STD SM BWL and COLON TRNST MLT DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.7288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.7288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43889","description":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.9685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43889","description":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.9685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.8519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.8519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2296.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.6233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2296.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.6233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.6215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.6215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.6215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78266","description":"GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.2402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1893.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.2402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1893.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.6171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.6171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.5105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.2757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.2757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1947.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1947.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.6487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.6487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8642","description":"HALLUX IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28291","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.0823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28291","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.0823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.1154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.1154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3584.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2555.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1793.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3913","description":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2600","description":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2600","description":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3918","description":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3919","description":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.2635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1303.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3930","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81257","description":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81269","description":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81259","description":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81258","description":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81361","description":"HBB COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81363","description":"HBB DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81364","description":"HBB FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81362","description":"HBB KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBGM USE INTEGRATED LANCING/BS TESTING CARTRIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2104","description":"HBGM USE INTEGRATED LANCING/BS TESTING CARTRIDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77771","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77768","description":"HDR RDNCL SK SRF BRCHYTX LES  GT 2CM and 2CHAN/MLT LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8615","description":"HEADSET/HEADPIECE COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1764.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING LOSS DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81431","description":"HEARING LOSS DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.8894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81430","description":"HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2307.7997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2715.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4072.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1357.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2307.7997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2715.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4072.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3855.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3855.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAT LAMP W/O STAND INCL BULB/INFRARED ELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0200","description":"HEAT LAMP W/O STAND INCL BULB/INFRARED ELEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAT LAMP W/STAND INCLUDES BULB/INFRARED ELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0205","description":"HEAT LAMP W/STAND INCLUDES BULB/INFRARED ELEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY ANALYTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTIATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTIATIVE EACH NES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTITATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTITATIVE EACH NES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER LEATHER REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3440","description":"HEEL COUNTER LEATHER REINFORCED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL NEW LEATHER STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3455","description":"HEEL NEW LEATHER STANDARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL NEW RUBBER STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3460","description":"HEEL NEW RUBBER STANDARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL PAD AND DEPRESSION FOR SPUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3480","description":"HEEL PAD AND DEPRESSION FOR SPUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL SACH CUSHION TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3450","description":"HEEL SACH CUSHION TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL THOMAS EXTENDED TO BALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3470","description":"HEEL THOMAS EXTENDED TO BALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL THOMAS WITH WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3465","description":"HEEL THOMAS WITH WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85441","description":"HEINZ BODIES DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85445","description":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMAGGLUTINATION INHIBITION TEST HAI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86280","description":"HEMAGGLUTINATION INHIBITION TEST HAI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81451","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8044","description":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3948.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4155.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.2382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.2382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.9708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.9708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4070.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83026","description":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83030","description":"HEMOGLOBIN F FETAL CHEMICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83033","description":"HEMOGLOBIN F FETAL QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83021","description":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83020","description":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83045","description":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83050","description":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88740","description":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88741","description":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83060","description":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN THERMOLABILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83065","description":"HEMOGLOBIN THERMOLABILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN UNSTABLE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83068","description":"HEMOGLOBIN UNSTABLE SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSIN ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85475","description":"HEMOLYSIN ACID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86940","description":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86941","description":"HEMOLYSINS AND AGGLUTININS INCUBATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.9993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.9993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"HEPARIN ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"HEPARIN NEUTRALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN-PROTAMINE TOLERANCE TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85530","description":"HEPARIN-PROTAMINE TOLERANCE TST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1146.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1719.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1146.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1719.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2003.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2003.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1791.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.6448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1791.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.6448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1638.7728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1927.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2891.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1638.7728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1927.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2891.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2997.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2997.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"HEPATIC FUNCTION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90636","description":"HEPATITIS A  AND  B VACCINE HEPA-HEPB ADULT IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A ANTIBODY HAAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86708","description":"HEPATITIS A ANTIBODY HAAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86709","description":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90371","description":"HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURF ANTIBODY HBSAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86706","description":"HEPATITIS B SURF ANTIBODY HBSAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87467","description":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS BE ANTIBODY HBEAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86707","description":"HEPATITIS BE ANTIBODY HBEAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0472","description":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86803","description":"HEPATITIS C ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86804","description":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.0988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90746","description":"HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90740","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90747","description":"HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81437","description":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81432","description":"HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY BRST CA-RLATD DO GEN SEQ ALYS 5 Plus  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81432","description":"HEREDITARY BRST CA-RLATD DO GEN SEQ ALYS 5 Plus  GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81439","description":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81448","description":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81434","description":"HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81434","description":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81437","description":"HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86309","description":"HETEROPHILE ANTIBODIES TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86310","description":"HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1017","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1018","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.9355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.7795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.7795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEXA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81255","description":"HEXA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12799.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12799.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81256","description":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB QUANTITATIVE TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88738","description":"HGB QUANTITATIVE TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82820","description":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85460","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85461","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7026","description":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7026","description":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/I and R PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94452","description":"HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP and REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ TST I and R SUPPL O2 TITRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94453","description":"HIGH ALTITUDE SIMULATJ W/PHYS I and R W/O2 TITRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12799.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9958","description":"HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9958","description":"HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3758.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6913.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1685","description":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.1195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1680","description":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1653","description":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1640","description":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39366.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43232.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39366.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43232.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5424.6045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5424.6045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2040","description":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2060","description":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2050","description":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2070","description":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2080","description":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2090","description":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81379","description":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81380","description":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81372","description":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81373","description":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81370","description":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.1691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81382","description":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81376","description":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86825","description":"HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86826","description":"HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81378","description":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81371","description":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81374","description":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81381","description":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81383","description":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81375","description":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81377","description":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86813","description":"HLA TYPING A/B/C MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86812","description":"HLA TYPING A/B/C SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86817","description":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86816","description":"HLA TYPING DR/DQ SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE MIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86821","description":"HLA TYPING LYMPHOCYTE CULTURE MIXED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1630","description":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL HIP JTS  and  TH CUFFS ADJ FLEX CTRL HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1681","description":"HO BIL HIP JTS  and  TH CUFFS ADJ FLEX CTRL HIP JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENT DF RESP DVC PER ADD FUNC OF COUGH STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0468","description":"HOME VENT DF RESP DVC PER ADD FUNC OF COUGH STIM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0465","description":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0466","description":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0467","description":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMOGENIZATION TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87176","description":"HOMOGENIZATION TISSUE CULTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5178.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5178.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4807.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4807.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5838.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7505","description":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7505","description":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81105","description":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81112","description":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81106","description":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81107","description":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81108","description":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81109","description":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81110","description":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81111","description":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0429U","description":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83009","description":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83013","description":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DRUG ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83014","description":"HPYLORI DRUG ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.7612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.7612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15011","description":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15011","description":"HRV SKIN FOR SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15012","description":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15012","description":"HRV SKIN FOR SKIN CELL SSP AGRFT EA ADDL 25 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HTT GENE ANALYSIS CHARACTERIZATION ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81274","description":"HTT GENE ANALYSIS CHARACTERIZATION ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HTT GENE ANALYSIS DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81271","description":"HTT GENE ANALYSIS DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86305","description":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0560","description":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0561","description":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7321","description":"HYALURONAN/DERIV HYALGAN/SUPARTZ IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7324","description":"HYALURONAN/DERIV ORTHOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7325","description":"HYALURONAN/DERIV SYNVISC/SYNVISC-ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7331","description":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7331","description":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLATOR UNIT INCLUDES PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0225","description":"HYDROCOLLATOR UNIT INCLUDES PADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6238","description":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6238","description":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6239","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6239","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6246","description":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6246","description":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6243","description":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6243","description":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNAL GENERATED DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT  APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT  APPLICATORS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT  APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT  APPLICATORS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.6862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT  APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT  APPLICATORS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.6862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.9759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.9518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.9759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.9518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.3095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.3095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.6689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1839.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.4158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.8987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.8052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58565","description":"HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.6689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1839.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.4158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.8987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.8052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2398.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.2423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2398.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.2423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.7437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.0183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.7437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.0183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatic Function Panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"Hepatic Function Panel","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PENIS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54015","description":"I AND D PENIS DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PENIS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54015","description":"I AND D PENIS DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.3503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.1168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.3503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.9519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.9519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.1493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.0517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.4478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.1493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.0517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.4478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.5915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.7573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87260","description":"IAADI ADENOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87265","description":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87270","description":"IAADI CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87272","description":"IAADI CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87271","description":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87267","description":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87269","description":"IAADI GIARDIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87274","description":"IAADI HERPES SMPLX VIRUS TYPE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87273","description":"IAADI HERPES SMPLX VIRUS TYPE 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFFLUENZA A VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87276","description":"IAADI INFFLUENZA A VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFLUENZA B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87275","description":"IAADI INFLUENZA B VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA PNEUMOPHILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87278","description":"IAADI LEGIONELLA PNEUMOPHILA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87299","description":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PARAINFLUENZA VIRUS EACH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87279","description":"IAADI PARAINFLUENZA VIRUS EACH TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PNEUMOCUSTIS CARINII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87281","description":"IAADI PNEUMOCUSTIS CARINII","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87300","description":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87280","description":"IAADI RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87283","description":"IAADI RUBEOLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87285","description":"IAADI TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI VARICELLA ZOSTER VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87290","description":"IAADI VARICELLA ZOSTER VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87810","description":"IAADIADOO CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87803","description":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87806","description":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NEISSERIA GONORRHOEAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87850","description":"IAADIADOO NEISSERIA GONORRHOEAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87899","description":"IAADIADOO NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87802","description":"IAADIADOO STREPTOCOCCUS GROUP B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO TRICHOMONAS VAGINALIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87808","description":"IAADIADOO TRICHOMONAS VAGINALIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87468","description":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87469","description":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87471","description":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87472","description":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87476","description":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87475","description":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87478","description":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87481","description":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87480","description":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87482","description":"IADNA CANDIDA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87486","description":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87485","description":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87487","description":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87491","description":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87490","description":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87492","description":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87496","description":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87495","description":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87497","description":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87634","description":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87662","description":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87484","description":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87498","description":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87511","description":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87510","description":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87512","description":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GU PTHGN SEMIQ ID DNA 16 BCT and 1FNGL ORG UR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0371U","description":"IADNA GU PTHGN SEMIQ ID DNA 16 BCT and 1FNGL ORG UR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87513","description":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87516","description":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87517","description":"IADNA HEPATITIS B VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87521","description":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87520","description":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87522","description":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87523","description":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87526","description":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87525","description":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87527","description":"IADNA HEPATITIS G QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87528","description":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87529","description":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87530","description":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87532","description":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87531","description":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87533","description":"IADNA HERPES VIRUS-6 QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87535","description":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87534","description":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87536","description":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87538","description":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87537","description":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87539","description":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87626","description":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87623","description":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87625","description":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87627","description":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87541","description":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87540","description":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87542","description":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87564","description":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87801","description":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87800","description":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87562","description":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87561","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87560","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87551","description":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87550","description":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87552","description":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87556","description":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87555","description":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87557","description":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87581","description":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87580","description":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87582","description":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87591","description":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87590","description":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87592","description":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87798","description":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87797","description":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS QUANTIFICATION EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87799","description":"IADNA NOS QUANTIFICATION EACH ORGANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87594","description":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87633","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87631","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87632","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87640","description":"IADNA S AUREUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87641","description":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87651","description":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87650","description":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87652","description":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87653","description":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87661","description":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87660","description":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87507","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87506","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81441","description":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66983","description":"ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93655","description":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93655","description":"ICAR CATH ABLATION DISCRETE MECHANISM ARRHYTHMIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ARRHYTHMIA ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93655","description":"ICAR CATHETER ABLATION ARRHYTHMIA ADD ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH1 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81120","description":"IDH1 COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH2 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81121","description":"IDH2 COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IFNL3 GENE ANALYSIS RS12979860 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81283","description":"IFNL3 GENE ANALYSIS RS12979860 VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81261","description":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81262","description":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81263","description":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81278","description":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81264","description":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90658","description":"IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IKBKAP GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81260","description":"IKBKAP GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90460","description":"IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0312","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0312","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0313","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0313","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49407","description":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49407","description":"IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49405","description":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.2452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49405","description":"IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.2452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92227","description":"IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92228","description":"IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90481","description":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90481","description":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90482","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90482","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS GT 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90484","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS GT 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS GT 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90484","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS GT 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SM DOS GT 10 LT 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90483","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SM DOS GT 10 LT 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SM DOS GT 10 LT 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90483","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SM DOS GT 10 LT 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1354.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1623.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2054.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1378.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE COMPLEX ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"IMMUNE COMPLEX ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IG HUMAN IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IG HUMAN IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83518","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83516","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83519","description":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83520","description":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86317","description":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86294","description":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86316","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86304","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86300","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86301","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86331","description":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86329","description":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86325","description":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86320","description":"IMMUNOELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86335","description":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86334","description":"IMMUNOFIXJ ELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83521","description":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.0578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE INTRASPINL CATHETER USED W/PUMP-REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0785","description":"IMPLANTABLE INTRASPINL CATHETER USED W/PUMP-REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8679","description":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8579.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8682","description":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6129.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0786","description":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9372.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1754.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2631.8093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.2698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1754.5395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2631.8093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.2698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67027","description":"IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66683","description":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.0597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66683","description":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.0597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.1783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3278.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3278.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43881","description":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43881","description":"IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1895.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.9815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1895.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.9815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1696.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.3462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.0663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.7297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.0886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.4062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.4062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.1557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.0259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.2748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1918.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2223.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2878.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.1557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1482.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.0259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.2748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1918.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2223.8528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2878.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.5318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.0212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.5318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1937.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.1518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.1757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.7736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1937.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1937.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.1518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.1757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.7736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.1518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.1757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.7736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.1915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.6601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1696.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.3462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.0663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.7297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.0886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.2878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1696.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.3462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.0663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.7297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.0886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.1915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.6601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.1915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.6601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88365","description":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88364","description":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88366","description":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4105","description":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2161.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.4838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.8224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2161.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.4838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.5462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.5462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.9103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10120","description":"INCISION  AND  REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10060","description":"INCISION  and  DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.2953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10121","description":"INCISION  and  REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.1588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.5617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.9451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.8442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.9451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.8442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.6903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.6903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION CONJUNCTIVA DRAINAGE OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68020","description":"INCISION CONJUNCTIVA DRAINAGE OF CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.8208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.8208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68400","description":"INCISION and DRAINAGE LACRIMAL GLAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LACRIMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68420","description":"INCISION and DRAINAGE LACRIMAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN  AND  LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67810","description":"INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4539","description":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4539","description":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.4729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4341","description":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4341","description":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3471","description":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3471","description":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87493","description":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9447","description":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9447","description":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87502","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87501","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87500","description":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87905","description":"INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.9295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.9295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1902.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3356.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1902.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3356.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1828.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2151.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3227.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1828.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2151.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3227.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 250 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7050","description":"INFUSION NORMAL SALINE SOLUTION 250 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 250 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7050","description":"INFUSION NORMAL SALINE SOLUTION 250 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0782","description":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4754.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0783","description":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9608.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0455","description":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3108.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.1371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHIBIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86336","description":"INHIBIN A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64654","description":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64654","description":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS and  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99184","description":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99184","description":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0137","description":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0137","description":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7186","description":"INJ AHF/ VWF CMPLX PER FACTOR VIII IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0134","description":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0134","description":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0462","description":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0462","description":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0582","description":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0582","description":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8603","description":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8605","description":"INJ BULK AGT DX/HA COPOLYMER IMPL ANAL CNL 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.8865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8606","description":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8607","description":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0597","description":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.1345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.1345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.9625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.2675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0775","description":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.2675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0872","description":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0872","description":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0873","description":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0873","description":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOCETAXEL HOSPIRA NOT THERAP EQV J9171 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9232","description":"INJ DOCETAXEL HOSPIRA NOT THERAP EQV J9171 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOCETAXEL HOSPIRA NOT THERAP EQV J9171 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9232","description":"INJ DOCETAXEL HOSPIRA NOT THERAP EQV J9171 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0162","description":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0162","description":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0164","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0164","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0163","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0163","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4081","description":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4081","description":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1806","description":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1806","description":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0139","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0139","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0138","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0138","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1571","description":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.7345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.7345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1572","description":"INJ IG FLEBOGAMMA DIF IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1566","description":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1568","description":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1572","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2251","description":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2251","description":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2247","description":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2247","description":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9028","description":"INJ NOGAPENDEKIN ALFA INBAKICEPT-PMLN IVES 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2354","description":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2354","description":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ/IV INJ 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2791","description":"INJ RHO D IG HUMAN RHOPHYLAC IM/IV 100 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2792","description":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.5095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67025","description":"INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2231.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2266.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2231.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2266.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3374","description":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3374","description":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3376","description":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3376","description":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7187","description":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9021","description":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7600.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7600.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  IDURSULFASE  1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1743","description":"INJECTION  IDURSULFASE  1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  IDURSULFASE  1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1743","description":"INJECTION  IDURSULFASE  1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.6305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION  NATALIZUMAB  1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2323","description":"INJECTION  NATALIZUMAB  1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.6305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.9838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1500.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1500.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0586","description":"INJECTION ABOBOTULINUMTOXINA 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0131","description":"INJECTION ACETAMINOPHEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0131","description":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0131","description":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETYLCYSTEINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0132","description":"INJECTION ACETYLCYSTEINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETYLCYSTEINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0132","description":"INJECTION ACETYLCYSTEINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACYCLOVIR 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0133","description":"INJECTION ACYCLOVIR 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACYCLOVIR 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0133","description":"INJECTION ACYCLOVIR 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADENOSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0153","description":"INJECTION ADENOSINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADENOSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0153","description":"INJECTION ADENOSINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":862.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":862.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2216.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9015","description":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2216.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2562.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2672.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2562.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2672.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0256","description":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1192.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1192.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIKACIN SULFATE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0278","description":"INJECTION AMIKACIN SULFATE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIKACIN SULFATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0278","description":"INJECTION AMIKACIN SULFATE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLIN UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLIN UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0282","description":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0282","description":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.1115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9062","description":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9062","description":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPICILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0290","description":"INJECTION AMPICILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPICILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0290","description":"INJECTION AMPICILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIDULAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0348","description":"INJECTION ANIDULAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIDULAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0348","description":"INJECTION ANIDULAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0400","description":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0400","description":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARSENIC TRIOXIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9017","description":"INJECTION ARSENIC TRIOXIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0461","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0463","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0461","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0463","description":"INJECTION ATROPINE SULFATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZACITIDINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9025","description":"INJECTION AZACITIDINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZACITIDINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9025","description":"INJECTION AZACITIDINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5052.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5150.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5052.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5150.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELANTAMAB MAFODOTIN-BLMF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9053","description":"INJECTION BELANTAMAB MAFODOTIN-BLMF 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELANTAMAB MAFODOTIN-BLMF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9053","description":"INJECTION BELANTAMAB MAFODOTIN-BLMF 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELIMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0490","description":"INJECTION BELIMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9033","description":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9257","description":"INJECTION BEVACIZUMAB 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.8215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.8215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7351","description":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIVALIRUDIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0583","description":"INJECTION BIVALIRUDIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BIVALIRUDIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0583","description":"INJECTION BIVALIRUDIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLEOMYCIN SULFATE 15 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9040","description":"INJECTION BLEOMYCIN SULFATE 15 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9041","description":"INJECTION BORTEZOMIB 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9042","description":"INJECTION BRENTUXIMAB VEDOTIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.1705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.6955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.6955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1939","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1939","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0666","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0665","description":"INJECTION BUPIVICAINE NOS 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0665","description":"INJECTION BUPIVICAINE NOS 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1752.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.4255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1752.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.4255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2171.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2171.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2171.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2171.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0592","description":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.0385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.0385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUSULFAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0594","description":"INJECTION BUSULFAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0598","description":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0613","description":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0613","description":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.0795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.0795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1199.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1199.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM GLUCONATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0612","description":"INJECTION CALCIUM GLUCONATE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM GLUCONATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0612","description":"INJECTION CALCIUM GLUCONATE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANAKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0638","description":"INJECTION CANAKINUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9045","description":"INJECTION CARBOPLATIN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9050","description":"INJECTION CARMUSTINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFAZOLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0690","description":"INJECTION CEFAZOLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFAZOLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0690","description":"INJECTION CEFAZOLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAROLINE FOSAMIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0712","description":"INJECTION CEFTAROLINE FOSAMIL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0681","description":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0681","description":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0696","description":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0696","description":"INJECTION CEFTRIAXONE SODIUM PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3932.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3932.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1201","description":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2401","description":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2401","description":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.8295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.8295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9060","description":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLADRIBINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9065","description":"INJECTION CLADRIBINE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLOFARABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9027","description":"INJECTION CLOFARABINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CODEINE PHOSPHATE PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0745","description":"INJECTION CODEINE PHOSPHATE PER 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CODEINE PHOSPHATE PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0745","description":"INJECTION CODEINE PHOSPHATE PER 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68850","description":"INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54230","description":"INJECTION CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4340.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4340.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3749.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3858.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3749.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3858.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5171.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5171.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9071","description":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9071","description":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9075","description":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9075","description":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTARABINE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9100","description":"INJECTION CYTARABINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTARABINE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9100","description":"INJECTION CYTARABINE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1899.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1951.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0850","description":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1899.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1951.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DACTINOMYCIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9120","description":"INJECTION DACTINOMYCIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0878","description":"INJECTION DAPTOMYCIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0878","description":"INJECTION DAPTOMYCIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0874","description":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0874","description":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0877","description":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0877","description":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0894","description":"INJECTION DECITABINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEGARELIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9155","description":"INJECTION DEGARELIX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9161","description":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9161","description":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.3055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1100","description":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1100","description":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5425.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5652.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5425.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5652.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1163","description":"INJECTION DILTIAZEM HCL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1163","description":"INJECTION DILTIAZEM HCL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1164","description":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1164","description":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1200","description":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1200","description":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIPYRIDAMOLE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1245","description":"INJECTION DIPYRIDAMOLE PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9171","description":"INJECTION DOCETAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9171","description":"INJECTION DOCETAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.1505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.1505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.1405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOPAMINE HCL 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1265","description":"INJECTION DOPAMINE HCL 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOPAMINE HCL 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1265","description":"INJECTION DOPAMINE HCL 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXERCALCIFEROL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1270","description":"INJECTION DOXERCALCIFEROL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXERCALCIFEROL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1270","description":"INJECTION DOXERCALCIFEROL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9000","description":"INJECTION DOXORUBICIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXYCYCLINE HYCLATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1271","description":"INJECTION DOXYCYCLINE HYCLATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXYCYCLINE HYCLATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1271","description":"INJECTION DOXYCYCLINE HYCLATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6408.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6498.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6408.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6498.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMAPALUMAB-LZSG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9210","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMAPALUMAB-LZSG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9210","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENOXAPARIN SODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1650","description":"INJECTION ENOXAPARIN SODIUM 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENOXAPARIN SODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1650","description":"INJECTION ENOXAPARIN SODIUM 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPINEPHRINE NOS 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0165","description":"INJECTION EPINEPHRINE NOS 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPINEPHRINE NOS 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0165","description":"INJECTION EPINEPHRINE NOS 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIRUBICIN HCL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9178","description":"INJECTION EPIRUBICIN HCL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5105","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5105","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOPROSTENOL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1325","description":"INJECTION EPOPROSTENOL 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERIBULIN MESYLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9179","description":"INJECTION ERIBULIN MESYLATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.7915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.7915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESMOLOL HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1805","description":"INJECTION ESMOLOL HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESMOLOL HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1805","description":"INJECTION ESMOLOL HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.6335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.6335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETOPOSIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9181","description":"INJECTION ETOPOSIDE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.5115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.5115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7311","description":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.827,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7185","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAMOTIDINE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1308","description":"INJECTION FAMOTIDINE 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAMOTIDINE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1308","description":"INJECTION FAMOTIDINE 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.5135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5101","description":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5101","description":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5110","description":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5110","description":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5125","description":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5125","description":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4463.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4616.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4463.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4616.3145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.6165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUDARABINE PHOSPHATE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9185","description":"INJECTION FLUDARABINE PHOSPHATE 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.6165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUOROURACIL 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9190","description":"INJECTION FLUOROURACIL 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2680","description":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLIC ACID 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1808","description":"INJECTION FOLIC ACID 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLIC ACID 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1808","description":"INJECTION FOLIC ACID 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FONDAPARINUX SODIUM 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1652","description":"INJECTION FONDAPARINUX SODIUM 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FONDAPARINUX SODIUM 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1652","description":"INJECTION FONDAPARINUX SODIUM 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1453","description":"INJECTION FOSAPREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1453","description":"INJECTION FOSAPREPITANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1938","description":"INJECTION FUROSEMIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1938","description":"INJECTION FUROSEMIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.8615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.8615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOBUTROL 0.1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9585","description":"INJECTION GADOBUTROL 0.1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOBUTROL 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9585","description":"INJECTION GADOBUTROL 0.1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9575","description":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9575","description":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GALSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1458","description":"INJECTION GALSULFASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1560","description":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1460","description":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL NOS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9201","description":"INJECTION GEMCITABINE HCL NOS 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2982.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3007.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2982.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3007.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1596","description":"INJECTION GLYCOPYRROLATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1596","description":"INJECTION GLYCOPYRROLATE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.6575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.6575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1626","description":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1626","description":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1631","description":"INJECTION HALOPERIDOL DECANOATE PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HALOPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1630","description":"INJECTION HALOPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1642","description":"INJECTION HEPARIN SODIUM PER 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1642","description":"INJECTION HEPARIN SODIUM PER 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1644","description":"INJECTION HEPARIN SODIUM PER 1000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1644","description":"INJECTION HEPARIN SODIUM PER 1000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3473","description":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1171","description":"INJECTION HYDROMORPHONE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1171","description":"INJECTION HYDROMORPHONE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBANDRONATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1740","description":"INJECTION IBANDRONATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IDARUBICIN HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9211","description":"INJECTION IDARUBICIN HCL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.9905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IFOSFAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9208","description":"INJECTION IFOSFAMIDE 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.9905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1569","description":"INJECTION IG GAMMAGARD LIQUID/ERC 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1786","description":"INJECTION IMIGLUCERASE 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1552","description":"INJECTION IMMUNE GLOBULIN ALYGLO 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1559","description":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.9175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1561","description":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.5555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.5555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0588","description":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1745","description":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2957.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3016.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2957.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3016.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1181.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1181.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2853.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2853.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.6885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.6885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON SUCROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1756","description":"INJECTION IRON SUCROSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON SUCROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1756","description":"INJECTION IRON SUCROSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9207","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1885","description":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1885","description":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LABETALOL HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1920","description":"INJECTION LABETALOL HCL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LABETALOL HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1920","description":"INJECTION LABETALOL HCL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.3015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.3015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LENACAPAVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECTION LENACAPAVIR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.5755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.5755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1853.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1933.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1950","description":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1853.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1933.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1953","description":"INJECTION LEVETIRACETAM 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1953","description":"INJECTION LEVETIRACETAM 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0641","description":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0641","description":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2002","description":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2002","description":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.8185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.8185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0896","description":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0896","description":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAGNESIUM SULPHATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3475","description":"INJECTION MAGNESIUM SULPHATE PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAGNESIUM SULPHATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3475","description":"INJECTION MAGNESIUM SULPHATE PER 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MANNITOL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2151","description":"INJECTION MANNITOL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MANNITOL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2151","description":"INJECTION MANNITOL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.7495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.7495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECHLORETHAMINE HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9230","description":"INJECTION MECHLORETHAMINE HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67515","description":"INJECTION MEDICATION/OTHER SUBST TENON CAPSULE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2185","description":"INJECTION MEROPENEM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2185","description":"INJECTION MEROPENEM 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9260","description":"INJECTION METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1010","description":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1010","description":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2919","description":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2919","description":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOPROLOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0616","description":"INJECTION METOPROLOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOPROLOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0616","description":"INJECTION METOPROLOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1836","description":"INJECTION METRONIDAZOLE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1836","description":"INJECTION METRONIDAZOLE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MICAFUNGIN SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2248","description":"INJECTION MICAFUNGIN SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MICAFUNGIN SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2248","description":"INJECTION MICAFUNGIN SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2250","description":"INJECTION MIDAZOLAM HCL PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2250","description":"INJECTION MIDAZOLAM HCL PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOXANTRONE HCL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9293","description":"INJECTION MITOXANTRONE HCL PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9313","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9313","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7519","description":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7519","description":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCI ZIMHI 0.01MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2313","description":"INJECTION NALOXONE HCI ZIMHI 0.01MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCI ZIMHI 0.01MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2313","description":"INJECTION NALOXONE HCI ZIMHI 0.01MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCL NOS 0.01MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2312","description":"INJECTION NALOXONE HCL NOS 0.01MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCL NOS 0.01MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2312","description":"INJECTION NALOXONE HCL NOS 0.01MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALTREXONE DEPOT FORM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2315","description":"INJECTION NALTREXONE DEPOT FORM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NELARABINE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9261","description":"INJECTION NELARABINE 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2710","description":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.3035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.3035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.0185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1099.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1099.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2359","description":"INJECTION OLANZAPINE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2359","description":"INJECTION OLANZAPINE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE LONG-ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2358","description":"INJECTION OLANZAPINE LONG-ACTING 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.1975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.1975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9262","description":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMALIZUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2357","description":"INJECTION OMALIZUMAB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ONDANSETRON HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2405","description":"INJECTION ONDANSETRON HCL PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ONDANSETRON HCL PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2405","description":"INJECTION ONDANSETRON HCL PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.2165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXALIPLATIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9263","description":"INJECTION OXALIPLATIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXALIPLATIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9263","description":"INJECTION OXALIPLATIN 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTOCIN UP TO 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2590","description":"INJECTION OXYTOCIN UP TO 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9267","description":"INJECTION PACLITAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9267","description":"INJECTION PACLITAXEL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9264","description":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2469","description":"INJECTION PALONOSETRON HCL 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2469","description":"INJECTION PALONOSETRON HCL 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.0545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.0545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9303","description":"INJECTION PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29845.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31147.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29845.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31147.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGINESATIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0890","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGINESATIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0890","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4015.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4125.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4015.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4125.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2540","description":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2540","description":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2516","description":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2516","description":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2757.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2832.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOSTATIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9268","description":"INJECTION PENTOSTATIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2757.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2832.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9957","description":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.0615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.0615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2372","description":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2372","description":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2373","description":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2373","description":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYTOIN SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1165","description":"INJECTION PHENYTOIN SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYTOIN SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1165","description":"INJECTION PHENYTOIN SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2562","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20901.5415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20901.5415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSACONAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1837","description":"INJECTION POSACONAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSACONAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1837","description":"INJECTION POSACONAZOLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3480","description":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3480","description":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9307","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54230","description":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54230","description":"INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROGESTERONE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2675","description":"INJECTION PROGESTERONE PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROGESTERONE PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2675","description":"INJECTION PROGESTERONE PER 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2704","description":"INJECTION PROPOFOL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2724","description":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.8235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54205","description":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54205","description":"INJECTION PX PEYRONIE DS W/SURG EXPOSURE PLAQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB  0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2778","description":"INJECTION RANIBIZUMAB  0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMDESIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0248","description":"INJECTION REMDESIVIR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2417.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2417.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2790","description":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIFAMPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2804","description":"INJECTION RIFAMPIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIFAMPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2804","description":"INJECTION RIFAMPIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2794","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2802","description":"INJECTION ROMIPLOSTIM 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2795","description":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2795","description":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.7695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9317","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOMATROPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2941","description":"INJECTION SOMATROPIN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.0165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0330","description":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2865","description":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2865","description":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1646.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1693.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1646.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1693.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1447","description":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1447","description":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3095","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9328","description":"INJECTION TEMOZOLOMIDE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMSIROLIMUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9330","description":"INJECTION TEMSIROLIMUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3101","description":"INJECTION TENECTEPLASE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1071","description":"INJECTION TESTOSTERONE CYPIONATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1071","description":"INJECTION TESTOSTERONE CYPIONATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE ENANTHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3121","description":"INJECTION TESTOSTERONE ENANTHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE ENANTHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3121","description":"INJECTION TESTOSTERONE ENANTHATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THEOPHYLLINE PER 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2810","description":"INJECTION THEOPHYLLINE PER 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THEOPHYLLINE PER 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2810","description":"INJECTION THEOPHYLLINE PER 40 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIGECYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3243","description":"INJECTION TIGECYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIGECYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3243","description":"INJECTION TIGECYCLINE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.4835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.4835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.1835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3262","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOPOTECAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9351","description":"INJECTION TOPOTECAN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.9345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9355","description":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.1015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.7635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.7635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.2345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.2345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.9465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.9465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREPROSTINIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3285","description":"INJECTION TREPROSTINIL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3301","description":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3301","description":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3909.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4010.9265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3909.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4010.9265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3315","description":"INJECTION TRIPTORELIN PAMOATE 3.75 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALPROATE SODIUM 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3379","description":"INJECTION VALPROATE SODIUM 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALPROATE SODIUM 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3379","description":"INJECTION VALPROATE SODIUM 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1309.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1334.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9357","description":"INJECTION VALRUBICIN INTRAVESICAL 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1309.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1334.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3373","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3375","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3373","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3375","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3385","description":"INJECTION VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VERTEPORFIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3396","description":"INJECTION VERTEPORFIN 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINBLASTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9360","description":"INJECTION VINBLASTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VINORELBINE TARTRATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9390","description":"INJECTION VINORELBINE TARTRATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3420","description":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORICONAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3465","description":"INJECTION VORICONAZOLE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORICONAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3465","description":"INJECTION VORICONAZOLE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5263.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5270.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5263.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5270.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.3295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIPRASIDONE MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3486","description":"INJECTION ZIPRASIDONE MESYLATE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, DOSTARLIMAB-GXLY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9272","description":"INJECTION, DOSTARLIMAB-GXLY 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, DOSTARLIMAB-GXLY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9272","description":"INJECTION, DOSTARLIMAB-GXLY 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7356","description":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7356","description":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LECANEMAB-IRMB, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0174","description":"INJECTION, LECANEMAB-IRMB, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.9405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.9405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, NAFCILLIN SODIUM, 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2290","description":"INJECTION, NAFCILLIN SODIUM, 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, NAFCILLIN SODIUM, 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2290","description":"INJECTION, NAFCILLIN SODIUM, 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66020","description":"INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66030","description":"INJX ANTERIOR CHAMBER EYE MEDICATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.0764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.1146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.8408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.0764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.1146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.8408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66183","description":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66183","description":"INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1307.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1307.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.3688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.3688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.7013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.7013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.0765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.0434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.0765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.4107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.5482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.7048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.4107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.5482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.7048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.5685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.2449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.2558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.2449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.2558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61889","description":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1534.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.2399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.6966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61889","description":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1534.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.2399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.6966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.9326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2029.8652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3450.7709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4059.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6089.5957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.9326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2029.8652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3450.7709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4059.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6089.5957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.4876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.4876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.6612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.6612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.8597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.9697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.9697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.6158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.6158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22854","description":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22854","description":"INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.6934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.2508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.2508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1200.2697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2118.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1200.2697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2118.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1061.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.7502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.7502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.2033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.2033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.1975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66985","description":"INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65140","description":"INSJ OC IMPLT AFTER ENCL MUSC ATTACHED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65135","description":"INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65130","description":"INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.3238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54400","description":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54400","description":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54401","description":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.4344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.5313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54401","description":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.4344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.5313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.4717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.5383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.9748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.9748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.9748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.4717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.5383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.4717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.5383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33995","description":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33995","description":"INSJ PERQ VAD W/RS and I R HEART VENOUS ACCESS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.0098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.0033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.0098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.0033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68841","description":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68841","description":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22868","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22868","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22867","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22867","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22870","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22870","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22869","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.9833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22869","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.9833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49435","description":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49435","description":"INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51721","description":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51721","description":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2726.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4089.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.5419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.0838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2726.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4089.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.5419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.2183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.2183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.9111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.9111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.7843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.7422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1801.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2702.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.8685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1801.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2702.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.8685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.3016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1938.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.3016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1292.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1938.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.0299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.2139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.2139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.1638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.2261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.1638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.4305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8511","description":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4439","description":"INSTAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4439","description":"INSTAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"INSULIN ANTIBODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1811","description":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1811","description":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1813","description":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1813","description":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.5435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80434","description":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80435","description":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80432","description":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.0276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.0276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.7261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.5665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.7261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4271","description":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4271","description":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1569.1305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1569.1305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.2623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.0668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.2623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.0668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.8296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.5945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.5945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM LABOR FACILITY GLOBAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4005","description":"INTERIM LABOR FACILITY GLOBAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM LABOR FACILITY GLOBAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4005","description":"INTERIM LABOR FACILITY GLOBAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2047.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2047.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPHALANGEAL JOINT SPACER SILICONE/EQUAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8658","description":"INTERPHALANGEAL JOINT SPACER SILICONE/EQUAL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93146","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93146","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP W/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93145","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93145","description":"INTERROG EVAL CRTD SINS BAT MODULJ SYS IP WO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93152","description":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93152","description":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93261","description":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93261","description":"INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3269.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16111.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14704.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2838.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.5924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.5924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.5543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"INTRA-ATRIAL PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93610","description":"INTRA-ATRIAL PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2277.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3416.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.4071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.8143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.9842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2277.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3416.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.4071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1658.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2487.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.3914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1658.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2487.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2419.7906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2846.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4270.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.7031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2419.7906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2846.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4270.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.7031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1729.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2034.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3051.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1729.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2034.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3051.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2318.8221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2728.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4092.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.0065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2318.8221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2728.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4092.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.0065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2734.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2734.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0571","description":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0571","description":"INTRAOPERATIVE NERVE CRYO POST-SURG PAIN RELIEF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0481","description":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7875.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1333.5945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1333.5945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1333.5945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37279","description":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3034.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3570.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5355.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.6181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37279","description":"INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3034.9016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3570.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5355.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.6181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37262","description":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2231.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3938.7442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.4574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37262","description":"INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2231.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3938.7442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.4574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1077.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.0603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1077.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.0603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0224","description":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0224","description":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENTRICULAR PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"INTRAVENTRICULAR PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENTRICULAR PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93612","description":"INTRAVENTRICULAR PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67028","description":"INTRAVITREAL NJX PHARMACOLOGIC AGT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRINSIC FACTOR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86340","description":"INTRINSIC FACTOR ANTIBODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36901","description":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36901","description":"INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36903","description":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2191.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3726.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4383.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6575.7668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36903","description":"INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2191.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3726.2678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4383.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6575.7668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.1734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.7895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.3929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3394.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95940","description":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95940","description":"IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP FNGR JNT REPL TWO/MORE PECES METL CERAM-LIKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8659","description":"IP FNGR JNT REPL TWO/MORE PECES METL CERAM-LIKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1909.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0549","description":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0549","description":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0547","description":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0547","description":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0548","description":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0548","description":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0546","description":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0546","description":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0551","description":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0551","description":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPPB MACH W/BUILT-IN NEBULIZATION; VALVS; PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0500","description":"IPPB MACH W/BUILT-IN NEBULIZATION; VALVS; PWR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7644","description":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7644","description":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66605","description":"IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66635","description":"IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.6802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66625","description":"IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.7045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66600","description":"IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.7045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66630","description":"IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66762","description":"IRIDOPLASTY PHOTOCOAGULATION 1 OR GT  SESSIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66505","description":"IRIDOTOMY STAB INC SPX TRANSFIXION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66500","description":"IRIDOTOMY STAB INC SPX XCP TRANSFIXION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66761","description":"IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83550","description":"IRON BINDING CAPACITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON STAIN PERIPHERAL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85536","description":"IRON STAIN PERIPHERAL BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRADIATION BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86945","description":"IRRADIATION BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"ISLET CELL ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOCITRIC DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83570","description":"ISOCITRIC DEHYDROGENASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV POLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0776","description":"IV POLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67496.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67548.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67496.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67548.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81270","description":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4252.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32149.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2000","description":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2010","description":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4047.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2030","description":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2126","description":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2038","description":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2037","description":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2036","description":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1585.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2128","description":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1490.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ANTERIOR LAMELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65710","description":"KERATOPLASTY ANTERIOR LAMELLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.3048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY ENDOTHELIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65756","description":"KERATOPLASTY ENDOTHELIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1368.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.5379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRAING APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65750","description":"KERATOPLASTY PENETRAING APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1368.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.5379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65755","description":"KERATOPLASTY PENETRATING PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65730","description":"KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.9103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODIES SERUM QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODIES SERUM QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODYS QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODYS QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETOSTEROIDS 17- FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83593","description":"KETOSTEROIDS 17- FRACTIONATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS D816 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81273","description":"KIT GENE ANALYSIS D816 VARIANT(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81272","description":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3159.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2877.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1860","description":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1848","description":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1833","description":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1821","description":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1812","description":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1840","description":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1834","description":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81276","description":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81275","description":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.4959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.4959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2731.8847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2731.8847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1501.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2650.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1501.9169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2650.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.7202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.7202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83625","description":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE LDH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83615","description":"LACTATE DEHYDROGENASE LDH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83630","description":"LACTOFERRIN FECAL QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83631","description":"LACTOFERRIN FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83632","description":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOSE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83633","description":"LACTOSE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1817.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2726.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1817.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2726.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2870.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.7968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2870.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.7968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2803.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.3156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.6313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2803.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.3156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.6313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.6839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1664.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2496.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.6839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1664.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2496.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2468.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2468.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2879.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.8999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.7998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2879.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.8999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.7998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.6171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.7611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2037.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.7611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2037.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2159.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2159.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.6137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2372.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.9493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.6137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2372.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.9493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.0515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.0515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1378.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2067.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.5181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.0363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1378.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2067.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.5181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.0363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.9066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.9066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2987.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1991.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2987.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2894.9917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.9972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.4953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1929.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2894.9917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.9972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2908.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2908.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.6383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.7674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1525.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.3863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.7674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.7674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1525.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.3863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1525.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.3863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.6171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.6171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.4326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.4326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.9084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.9084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.6717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.6717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1479.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0189","description":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1249.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2204.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1249.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2204.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.1788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.7263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.1788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.7263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.7802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1914.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.7802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1914.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.2621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2151.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.2621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2151.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.5097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1807.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.6528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.5097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1807.9583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.6528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.4061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.4061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.8606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1796.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.8606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1796.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.7415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1399.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1399.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.8182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.5099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.5099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.9961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.9961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.4663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.4663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1582.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.6144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1582.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.6144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.5613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.3939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.1026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.1026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.5815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.3061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.3061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.9184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.9184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.6148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58672","description":"LAPAROSCOPY FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.6148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.1613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.1613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54692","description":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.7373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54692","description":"LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.7373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.8081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.8081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.3147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.3147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.1634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.6413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.1634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.6413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.0707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.3805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.0707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.3805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.4468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.8935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.4468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.8935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.7442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.7442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL ORCHIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54690","description":"LAPAROSCOPY SURGICAL ORCHIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL ORCHIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54690","description":"LAPAROSCOPY SURGICAL ORCHIECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1284.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1284.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.1964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.1964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.9278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.9278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.1898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.1898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58674","description":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.5373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58674","description":"LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.5373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.6915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1782.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1782.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1458.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2187.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1458.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2187.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.8701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1990.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.8701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1990.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2043.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.3293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2043.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.3293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1681.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.6212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1681.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.6212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.5118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.0235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.5118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.0235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.2791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.2791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.3913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.3913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.7178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.3067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.7178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.3067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43284","description":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.3553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43284","description":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.3553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.8254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.8254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.7434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.1289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.1289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.1383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1729.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1729.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.2302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43775","description":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43775","description":"LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55550","description":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55550","description":"LAPS LIGATION SPERMATIC VEINS VARICOCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.1808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.2073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.5423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.1808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.2073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.4879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.4879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2284.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2284.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.2641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43648","description":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43648","description":"LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.2986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.2986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.4143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.4143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58544","description":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.1131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58544","description":"LAPS SUPRACRV HYSTEREC  GT 250 G RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.1131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.5321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.5321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.4598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.3645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.4598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.3645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.2668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.2668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55869","description":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.0649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55869","description":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.3705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.0649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.2641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.2641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.2641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55868","description":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55868","description":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.8751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.8751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.8372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.5433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.5433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.5024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.9455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.5024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.9455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.2947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1572.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.2947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.0491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.8685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.8685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.5778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.5778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1673.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.2991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1673.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.2991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.1569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.0607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.0607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1477.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.8265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1477.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.8265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1742.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.4709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1742.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.4709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.6563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.6563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.5841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGE SIZE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0041","description":"LARGE SIZE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.5178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.5178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1843.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1843.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.5283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2449.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1633.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2449.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.5689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.5689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2265.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.1233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2265.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.1233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.9472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.0833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.9472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.9153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.0833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1870.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1870.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2054.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.8468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2054.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.8468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.0284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2158.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.0284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2158.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.2271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.8438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1493.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.5781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.8438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1493.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.5781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.5952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.4033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.0018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.5952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.6672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.4033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL CANTHOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21282","description":"LATERAL CANTHOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.7091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.5033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAD WIRES PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4557","description":"LEAD WIRES PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD WIRES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4557","description":"LEAD WIRES PER PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0038","description":"LEG STRAP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP H STYLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0039","description":"LEG STRAP H STYLE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1710","description":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1880.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1755","description":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.1475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1730","description":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1700","description":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1720","description":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.6145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.5575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.3363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.5575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.3363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.4029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.4029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.6285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.6285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.2653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.2653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.6053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.6053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.4511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.4511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2783","description":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2783","description":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2782","description":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2782","description":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUCINE AMINOPEPTIDASE LAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83670","description":"LEUCINE AMINOPEPTIDASE LAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89055","description":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86343","description":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE PHAGOCYTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"LEUKOCYTE PHAGOCYTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE 7.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9217","description":"LEUPROLIDE ACETATE 7.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5060.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5060.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.3555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9218","description":"LEUPROLIDE ACETATE PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.3555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7612","description":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7612","description":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7614","description":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7614","description":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88300","description":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88302","description":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88307","description":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88309","description":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1190.3745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1190.3745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1429.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7008","description":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7008","description":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7007","description":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7007","description":"LG VOL NEBULIZR DISPBL UNFIL USED W/AROSL COMPRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.7635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8624","description":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3332","description":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3300","description":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION METAL EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3330","description":"LIFT ELEVATION METAL EXTENSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.4123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.4123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.9768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.9768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.9002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.9002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.2915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.2583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.0147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.2583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.0147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.8572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.8572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.3613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.3613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.9696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.2763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.9696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.7908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.7908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.4179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.4179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0012","description":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2984.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.8025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0003","description":"LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.8025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.0229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.7203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.2813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED VISUAL FIELD XM UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92081","description":"LIMITED VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"LIPID PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN (A)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83695","description":"LIPOPROTEIN (A)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83700","description":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83701","description":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83704","description":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83718","description":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83721","description":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83719","description":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83698","description":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8623","description":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.7148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.5132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.4189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.5132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.4189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.2574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.2574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.4247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81517","description":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86806","description":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.1817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.1817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.7008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.7008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9966","description":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9966","description":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9967","description":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9967","description":"LOCM 300-399 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.8525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.8525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0972","description":"LSO CORSET FRONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0976","description":"LSO FULL CORSET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4332","description":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4332","description":"LUBRICANT INDIVIDUAL STERILE PACKET EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0634","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1302.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0632","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.6425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0469","description":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13277.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1622.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1908.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2863.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1622.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1908.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2863.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.1725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2656.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.5543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2656.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.5543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2193.9881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2581.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3871.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.2906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1290.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2193.9881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2581.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3871.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.2906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2069.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2434.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3652.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2069.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2434.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3652.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTEINIZING RELEASING FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83727","description":"LUTEINIZING RELEASING FACTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3123.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3674.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5511.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.5951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3123.2234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3674.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5511.5708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.5951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5557.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5826.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7504","description":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5557.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5826.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86353","description":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86805","description":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54162","description":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54162","description":"LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.8025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88368","description":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88367","description":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88374","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88373","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88377","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88369","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88361","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88360","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION ARTHROPOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87168","description":"MACROSCOPIC EXAMINATION ARTHROPOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION PARASITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87169","description":"MACROSCOPIC EXAMINATION PARASITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76391","description":"MAGNETIC RESONANCE ELASTOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95965","description":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95965","description":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95966","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.6276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95966","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.6276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95967","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95967","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.4077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.4077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.6785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.6785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANTLE DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4349","description":"MANTLE DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANTLE DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4349","description":"MANTLE DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4459","description":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2992.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2992.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0966","description":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2230","description":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5094.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5094.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83789","description":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.1403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY GYNECOMASTIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.0644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.0644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.8526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.8526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1254.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.0619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1254.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.0619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS FOAM RUBBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0272","description":"MATTRESS FOAM RUBBER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1715.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.0039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1715.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.0039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1293.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1940.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1293.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1940.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81290","description":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAT FIBERS FECES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89160","description":"MEAT FIBERS FECES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94669","description":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94669","description":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL FRAGILITY RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85547","description":"MECHANICAL FRAGILITY RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81304","description":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81302","description":"MECP2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81303","description":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21280","description":"MEDIAL CANTHOPEXY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.1707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76145","description":"MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.1815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93463","description":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93463","description":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4205","description":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4205","description":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PROT  AND  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90620","description":"MENB-4C RECOMBNT PRTN  and  OUTER MEMB VESIC VACC IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.5765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.5765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METACARPOPHALANGEAL JOINT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8630","description":"METACARPOPHALANGEAL JOINT IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL JOINT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8641","description":"METATARSAL JOINT IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.4513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7674","description":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHEMALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83857","description":"METHEMALBUMIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8610","description":"METHOTREXATE ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8610","description":"METHOTREXATE ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE SODIUM 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9260","description":"METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHYLPREDNISOLONE ORAL PER 4 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7509","description":"METHYLPREDNISOLONE ORAL PER 4 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHYLPREDNISOLONE ORAL PER 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7509","description":"METHYLPREDNISOLONE ORAL PER 4 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METYRAPONE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"METYRAPONE PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81287","description":"MGMT GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.5054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.9183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.0323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.5054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.9183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2621.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.9654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.6823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.8615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2621.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.9654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.9308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88380","description":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88381","description":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83861","description":"MICROFLUIDIC ANALYSIS TEAR OSMOLARITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8616","description":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12224.6439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14381.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12224.6439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14381.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3828.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4504.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3828.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4504.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81301","description":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSOMAL ANTIBODIES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86376","description":"MICROSOMAL ANTIBODIES EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93025","description":"MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3069.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.7041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.1838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1892.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.3496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1892.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.3496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8041","description":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2833.6455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2982.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2761","description":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2761","description":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOCHONDRIAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86381","description":"MITOCHONDRIAL ANTIBODY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.2465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9281","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81294","description":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81292","description":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81293","description":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81288","description":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.3323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2295","description":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.0545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.0545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2216","description":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2201","description":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4725.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4725.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4725.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5094.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2217","description":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2218","description":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.9686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.9686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1011","description":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92325","description":"MODIFICAJ CONTACT LENS SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92325","description":"MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65125","description":"MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86362","description":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86363","description":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88275","description":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0452","description":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88273","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88272","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS DNA PROBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88271","description":"MOLECULAR CYTOGENETICS DNA PROBE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88274","description":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81400","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1575.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3063.2117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3603.7785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3063.2117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3603.7785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15773.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18557.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15773.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18557.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86356","description":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88356","description":"MORPHOMETRIC ANALYSIS NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88355","description":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88358","description":"MORPHOMETRIC ANALYSIS TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPJ REPLCMT TWO/MORE PECES METL CERAM-LIKE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8631","description":"MPJ REPLCMT TWO/MORE PECES METL CERAM-LIKE MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81338","description":"MPL GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81339","description":"MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90733","description":"MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61715","description":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61715","description":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.1223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.4217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.6673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70551","description":"MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70553","description":"MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.2869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.2869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.9565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.9017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77048","description":"MRI BREAST W/OUT and WITH CONTRAST W/CAD UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.9017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77046","description":"MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.4967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.4967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70543","description":"MRI ORBIT FACE  and  NECK W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81297","description":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81295","description":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81296","description":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81300","description":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81298","description":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81299","description":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MTHFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81291","description":"MTHFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCIN SYNOVIAL FLUID ROPES TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83872","description":"MUCIN SYNOVIAL FLUID ROPES TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83864","description":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6431.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6431.9535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE PUNCTURES ANTERIOR CORNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65600","description":"MULTIPLE PUNCTURES ANTERIOR CORNEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.5107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.3678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.5107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.1953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.4635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.1953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.4635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.5768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.5768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE-SPECIFIC KINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86366","description":"MUSCLE-SPECIFIC KINASE ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.9843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.9843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10199.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10199.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7517","description":"MYCOPHENOLATE MOFETIL ORAL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7517","description":"MYCOPHENOLATE MOFETIL ORAL 250 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLIC ACID ORAL 180 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7518","description":"MYCOPHENOLIC ACID ORAL 180 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLIC ACID ORAL 180 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7518","description":"MYCOPHENOLIC ACID ORAL 180 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81305","description":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83873","description":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62304","description":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62304","description":"MYELOGRAPHY VIA LUMBAR INJECT RS AND I LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62305","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62305","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I 2 PLUS  REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62302","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62302","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62303","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62303","description":"MYELOGRAPHY VIA LUMBAR INJECTION RS AND I THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOPEROXIDASE MPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83876","description":"MYELOPEROXIDASE MPO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1537.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1809.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2713.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.5593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1537.7507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1809.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2713.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.2796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.5593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.7788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.3793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.6815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78431","description":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78431","description":"MYOCRD IMG PET PRFUJ MLT STD RST AND STRS CNCRNT CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.4001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.8397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.8397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"Methotrexate oral 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8610","description":"Methotrexate oral 2.5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"Muramidase","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NARROWING DEVICE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0969","description":"NARROWING DEVICE WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"NASAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92512","description":"NASAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8040","description":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2350.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2474.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8047","description":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SMEAR EOSINOPHILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89190","description":"NASAL SMEAR EOSINOPHILS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.3407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31243","description":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2751.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.0595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31243","description":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1834.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2751.1785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.0595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31242","description":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1605.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2833.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31242","description":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1605.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2833.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.3317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1394.3317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.5545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.5631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.5631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.1151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.1151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2598.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3057.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4586.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2598.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3057.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4586.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1623.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1910.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.9253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2865.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1623.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1910.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.9253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2865.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.2847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1987.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1987.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.1591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1868.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2802.6338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.2113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.1591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1868.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2802.6338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.1056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.2113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.9423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.5678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.9423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.5678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31253","description":"NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.5163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.9417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.2533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.0048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.2533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.0048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITH STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4081","description":"NASOGASTRIC TUBING WITH STYLET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITHOUT STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4082","description":"NASOGASTRIC TUBING WITHOUT STYLET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83880","description":"NATRIURETIC PEPTIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATURAL KILLER CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86357","description":"NATURAL KILLER CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.5497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.4656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.4656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.9593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.9593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.1165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEB GLASS/AUTOCLAV NOT USE W/O2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7017","description":"NEB GLASS/AUTOCLAV NOT USE W/O2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEB GLASS/AUTOCLAV NOT USE W/O2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7017","description":"NEB GLASS/AUTOCLAV NOT USE W/O2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER ULTRASONIC LARGE VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0575","description":"NEBULIZER ULTRASONIC LARGE VOLUME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0580","description":"NEBULIZR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20561","description":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20561","description":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2402","description":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6478.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4371","description":"NEOGUARD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4371","description":"NEOGUARD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4388","description":"NEOTHELIUM 4L PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4388","description":"NEOTHELIUM 4L PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4389","description":"NEOTHELIUM 4L PLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4389","description":"NEOTHELIUM 4L PLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.4215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.4833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.4215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.9558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.9558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.2369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.2369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1585.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1585.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.0308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.0308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL STAGE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.0308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1809.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1809.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1809.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.5836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.8843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.8843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.1672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.8843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.5411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.9353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.9353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.9353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.3133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.7805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.4926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.4926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.8896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.0863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1058.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1588.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.0863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1526.2223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.8593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1526.2223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.8593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.4504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.4504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64911","description":"NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.0985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE TEASING PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"NERVE TEASING PREPARATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY HAMSTRING MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27325","description":"NEURECTOMY HAMSTRING MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY HAMSTRING MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27325","description":"NEURECTOMY HAMSTRING MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.6028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.9343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.2895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.9343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZATION TEST VIRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86382","description":"NEUTRALIZATION TEST VIRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87505","description":"NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87503","description":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87913","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87900","description":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81513","description":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81514","description":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0223U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0223U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81515","description":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81596","description":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0225U","description":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0225U","description":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS GU PTHGN ARG DETCJ MULT AMP PRB TQ UR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0372U","description":"NFCT DS GU PTHGN ARG DETCJ MULT AMP PRB TQ UR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0593U","description":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PTHGN-SNA 10VIRAL and 4BCT TRGTS QUAL RT-PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0564U","description":"NFCT DS PTHGN-SNA 10VIRAL and 4BCT TRGTS QUAL RT-PCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS PTHGN-SNA 11VIRAL and 4BCT TRGTS QUAL RT-PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0563U","description":"NFCT DS PTHGN-SNA 11VIRAL and 4BCT TRGTS QUAL RT-PCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0595U","description":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87904","description":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87903","description":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.1013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8032","description":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.9155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NITROBLUE TETRAZOLIUM DYE TEST NTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86384","description":"NITROBLUE TETRAZOLIUM DYE TEST NTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.8339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.4783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.8339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.4783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.9667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.9667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62320","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62324","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62320","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62324","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62326","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62326","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1973.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1973.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PEYRONIE W/SURG EXPOS PLAQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54205","description":"NJX PEYRONIE W/SURG EXPOS PLAQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PULMONARY ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX PULMONARY ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.9494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.9494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE  and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2001","description":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2001","description":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3587,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2103","description":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0735","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0683","description":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0680","description":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5298.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0681","description":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0682","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0678","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0679","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5587.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5587.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4877.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4877.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36221","description":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.1049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36221","description":"NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.1049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81442","description":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.8723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1688.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81310","description":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81311","description":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.4926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81194","description":"NTRK TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.9237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK1 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81191","description":"NTRK1 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK2 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81192","description":"NTRK2 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK3 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81193","description":"NTRK3 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99447","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99447","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99448","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99448","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99449","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99449","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1390.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86386","description":"NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81440","description":"NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2225.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2617.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDT15 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81306","description":"NUDT15 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1514.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1514.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1192.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1788.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1192.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1788.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9452","description":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9452","description":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82657","description":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82658","description":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 1 DEL PORT 85 PCT  OR GT 02 CONC AT PRSC FLW RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1390","description":"O2 CONC 1 DEL PORT 85 PCT  OR GT 02 CONC AT PRSC FLW RATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 1 DEL PORT 85 PCT  OR GT 02 CONC AT PRSC FLW RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1390","description":"O2 CONC 1 DEL PORT 85 PCT  OR GT 02 CONC AT PRSC FLW RATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 2 DEL PORT 85 PCT  OR GT O2 CONC PRSC FLW RATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1391","description":"O2 CONC 2 DEL PORT 85 PCT  OR GT O2 CONC PRSC FLW RATE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONC 2 DEL PORT 85 PCT  OR GT O2 CONC PRSC FLW RATE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1391","description":"O2 CONC 2 DEL PORT 85 PCT  OR GT O2 CONC PRSC FLW RATE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2327.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2738.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4107.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2327.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2738.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4107.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["25"]}]}]},{"negotiation_arrangement":"ffs","name":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0247U","description":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PRETERM BIRTH IGFBP4 SHBG QUAN MEAS MAT BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0247U","description":"OB PRETERM BIRTH IGFBP4 SHBG QUAN MEAS MAT BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0489U","description":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.2089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1541.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2312.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1541.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2312.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1541.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2312.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1780.2876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2094.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3141.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1780.2876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2094.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3141.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80055","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL INCLUDES HIV TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL INCLUDES HIV TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.9317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.4892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.9317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.4677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8610","description":"OCULAR IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.8185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.3002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.5361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.3002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92518","description":"OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92518","description":"OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.6155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OLIGOCLONAL IMMUNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83916","description":"OLIGOCLONAL IMMUNE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.8218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.3325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.8218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.3197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.3197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81520","description":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81521","description":"ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST MRNA NEXT GNRJ SEQ GEN XPRSN 70 CNT and 31","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81523","description":"ONC BRST MRNA NEXT GNRJ SEQ GEN XPRSN 70 CNT and 31","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0464U","description":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0421U","description":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0090U","description":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.2813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1535.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81529","description":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4814.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5664.4875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0364U","description":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.6052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1580.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0329U","description":"ONC NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2301.3023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2707.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0340U","description":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2623.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3087.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN-TUMOR DNA and RNA NEXT-GENERATION SEQUENCING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0211U","description":"ONC PAN-TUMOR DNA and RNA NEXT-GENERATION SEQUENCING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5659.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6658.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0047U","description":"ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81541","description":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81542","description":"ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81551","description":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.8313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1598.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0172U","description":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2028.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2386.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0487U","description":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1954.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2299.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0244U","description":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2342.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2756.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0473U","description":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3012.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3543.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81546","description":"ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2409.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2835.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81552","description":"ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5205.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6123.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81503","description":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81518","description":"ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81519","description":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81522","description":"ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2592.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81528","description":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81539","description":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83951","description":"ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN HER-2/NEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83950","description":"ONCOPROTEIN HER-2/NEU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.3205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1372.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1372.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1277.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50250","description":"OPEN ABLATION 1 OR GT RENAL MASS LESION CRYOSURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1277.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50250","description":"OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1277.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.6843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1584.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2376.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.6843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1584.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2376.5018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2766.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2766.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1989.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.1958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1989.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.1958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.3023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3411.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.6511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.3023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3411.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.6511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.9103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.9103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.3836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.8751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.3836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.0738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.8623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1718.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.6649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.3077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.2077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.3077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.2077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.5288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1382.7083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.5347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1382.7083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.5347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.0668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1321.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.1288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.4533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.9175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.9019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.3633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.2392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.3633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.6107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.6107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.4463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.4463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.1293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.1293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.9763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.9763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.7018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.3627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.3627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.3627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.4542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.4232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.0443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.0443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.1663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.1663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.9763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.1946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.9823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.7782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.8461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1378.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.7185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1378.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.7185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.2472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1941.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.2043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.2472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1941.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.2043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.0698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.0698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.6988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.6988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.0958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.0958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.8207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.9655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.8207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.9655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1216.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.1707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1216.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.1707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.1674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.4748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21408","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.7914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.1613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21407","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.7914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.1613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21406","description":"OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.3338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.5462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.7176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.0795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.6193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.5397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.7176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.0795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.2261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1168.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.2261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.7051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.7051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.2914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.6973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.2914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.7778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.5808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.5808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.3397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.3397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.8411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21387","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.0095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21386","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.0095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.8205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21385","description":"OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.8205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.6494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.6494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.2658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.2658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.2138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.2138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.8112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.8433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.1385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.7451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.1385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.1638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.1638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.8303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.8303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.7238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.7238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.6898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.6898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.1789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7539,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.1789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.4943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.3295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.4943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.3295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.8949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.4898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.6009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2311.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.6009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2311.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37237","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37237","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37236","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2242.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3363.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37236","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2242.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3363.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.3947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2635.3651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3100.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4650.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37238","description":"OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2635.3651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3100.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4650.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92136","description":"OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76519","description":"OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92014","description":"OPH SVCS MEDICAL XM and EVAL COMPRE EST PT 1 OR GT VST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92004","description":"OPH SVCS MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92012","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE EST PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92002","description":"OPH SVCS MEDICAL XM and EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76513","description":"OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPH US DX B-SCAN AND QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92012","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE ESTAB PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92002","description":"OPHTH MEDICAL XM AND EVAL INTERMEDIATE NEW PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92004","description":"OPHTH MEDICAL XM and EVAL COMPRE NEW PT 1 OR GT  VST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92014","description":"OPHTH MEDICAL XM and EVAL COMPRHNSV ESTAB PT 1 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76516","description":"OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76529","description":"OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76512","description":"OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76510","description":"OPHTHALMIC US DX B-SCAN and QUAN A-SCAN SM PT ENCTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76514","description":"OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76511","description":"OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.2673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.2673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.8703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2194.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2194.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2371.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2371.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2371.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.9622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2371.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.2733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.1162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.5047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.0083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.5047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.0083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.5758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1792.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.5758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1792.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67570","description":"OPTIC NERVE DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88375","description":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.0068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.2472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.0068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.2472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.0447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.0447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.6741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.3483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1859.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1859.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.3131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.3131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.3279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.3279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.7975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.6868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.0745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1933.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.0775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.8167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.5016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.5016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.1967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.1967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1245.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.2557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.4185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.2093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.2557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.4185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.4678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.4678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.2446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.0193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.4327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.0193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.4327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.0193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.4327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.5462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.5462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.1096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.1096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.0663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.4695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.4935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.3642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.3642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.8928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.8928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21395","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.0347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.0347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.8168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.7845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.8168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.7845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.8168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.7845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.7408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.6864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.7408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.6864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.7018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.7018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1718.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1718.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.8112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.8433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.8112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.8433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.6649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.6649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.9418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.9418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.5713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.5713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.8904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.0075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1721.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.9309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.0393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.0393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.0675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.1698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.4465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.1698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.7233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.4465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1774.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1774.7257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2003.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2003.6048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1605.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.9752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1605.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.9752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.5823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.5823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7047","description":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7047","description":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7044","description":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7044","description":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.0483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.0788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67550","description":"ORBITAL IMPLANT INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.0483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.0788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL IMPLANT REMOVAL/REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67560","description":"ORBITAL IMPLANT REMOVAL/REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8042","description":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1340.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3351.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.7386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21267","description":"ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.0092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.7386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.8077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21268","description":"ORBITAL REPOSITIONING W/BONE GRAFTS ICRA  and  XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.8077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1872.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1501.6759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2650.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.3388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1501.6759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2650.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.3388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1671.4026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2949.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1671.4026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1966.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2949.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1728.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2033.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1728.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2033.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.3129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67450","description":"ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.7127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67445","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.7127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67420","description":"ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67430","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67440","description":"ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67405","description":"ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67400","description":"ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.9165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67412","description":"ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.8838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.9165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.7538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.5025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67414","description":"ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.7538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.5025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.9094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.7813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67413","description":"ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.9094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.7813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54522","description":"ORCHIECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.6977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54522","description":"ORCHIECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.6977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54530","description":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54530","description":"ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54535","description":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54535","description":"ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54520","description":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54520","description":"ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54650","description":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54650","description":"ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.5305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54640","description":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54640","description":"ORCHIOPEXY INGUINAL OR SCROTAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACID 1 QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83921","description":"ORGANIC ACID 1 QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83919","description":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83918","description":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4276","description":"ORION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4276","description":"ORION PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3590","description":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3580","description":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3520","description":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W/LEATHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MAN SHOE OXFORD PART BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3225","description":"ORTHOPEDIC FOOTWEAR MAN SHOE OXFORD PART BRACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR WOMAN SHOE OXFRD PART BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3224","description":"ORTHOPEDIC FOOTWEAR WOMAN SHOE OXFRD PART BRACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3500","description":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3510","description":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION MARCH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3595","description":"ORTHOPEDIC SHOE ADDITION MARCH BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SOLE FULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3540","description":"ORTHOPEDIC SHOE ADDITION SOLE FULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SOLE HALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3530","description":"ORTHOPEDIC SHOE ADDITION SOLE HALF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3570","description":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3560","description":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3550","description":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC  and /PLEOPTIC TRAINING W/MEDICAL DIRECTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92065","description":"ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85557","description":"OSMOTIC FRAGILITY RBC INCUBATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC UNINCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85555","description":"OSMOTIC FRAGILITY RBC UNINCUBATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSICULA IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8613","description":"OSSICULA IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.1332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.8243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.1332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.8243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.6922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.7378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.7378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":912.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.5738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.6153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.5738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.6153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.4378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.5837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.5837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.8098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.6032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.2065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.8098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.6032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.2065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.1771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.1771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.3103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.3103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.0208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.0208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.3403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.9665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.9665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.7394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.7394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.7394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2109.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2109.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1944.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1944.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.2385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1547.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.9616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1547.5793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.9616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOT MLT W/RELIGNMT IMED ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.4695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.4695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.5208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.5208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.1317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.1317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.3015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.3015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.3725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.3725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.8203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.8203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.2013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.2013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.3669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.0937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.0937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1264.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1816.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.2132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1816.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.7098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.0817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.0817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.5331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.5331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.3397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.3397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.2233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.2233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.7255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1571.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.6704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1571.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.6704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.6168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2319.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.6168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2319.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.9492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2350.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.9492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2350.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.2254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.2254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.4967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.3148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.4967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.3148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1702.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1702.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.9922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1650.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1650.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.0808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.9124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.0808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.9124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1702.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1650.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.0808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.9124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.2433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.2433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.0567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.0567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2063.8695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1949.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4395","description":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4395","description":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FILTER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4368","description":"OSTOMY FILTER ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.2047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.2047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82042","description":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69300","description":"OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.4427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLARE WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3390","description":"OUTFLARE WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1473.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2209.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.5698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.1686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1473.1395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2209.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.5698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87177","description":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.0953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.0318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.0953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERLAY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4352","description":"OVERLAY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERLAY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4352","description":"OVERLAY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVULATION TEST VISUAL COLOR COMPARISON HLH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84830","description":"OVULATION TEST VISUAL COLOR COMPARISON HLH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2362.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0455","description":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN and WATER VAPOR ENRICHING SYS W/HEATED DELIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1405","description":"OXYGEN and WATER VAPOR ENRICHING SYS W/HEATED DELIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN and WATR VAPOR ENRICHING SYS W/O HEATED DELIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1406","description":"OXYGEN and WATR VAPOR ENRICHING SYS W/O HEATED DELIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0559","description":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0559","description":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81312","description":"PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMKR MON CHECKS BATTRY DEPLET W/AUDIBL and VISIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0610","description":"PACEMKR MON CHECKS BATTRY DEPLET W/AUDIBL and VISIBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMKR MON CHECKS BATTRY DEPLET W/DIGTL/VISIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0615","description":"PACEMKR MON CHECKS BATTRY DEPLET W/DIGTL/VISIBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0249","description":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6441","description":"PADD BANDGE NON-ELAST NON-WOVEN/NON-KNITTED WDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIL OR PAN USE W/COMMODE CHAIR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0167","description":"PAIL OR PAN USE W/COMMODE CHAIR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.7993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42225","description":"PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.7993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.5973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.7918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.5973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.7918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.9298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.3468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.9298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42220","description":"PALATOPLASTY CLEFT PALATE SEC LNGTH PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.1535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.1535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81308","description":"PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4354","description":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4354","description":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1919.9093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.9849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.7294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.7294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.2753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65815","description":"PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG and /AIR IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.2753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65810","description":"PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65800","description":"PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN BATH UNIT PORTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"PARAFFIN BATH UNIT PORTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN BATH UNIT PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0235","description":"PARAFFIN BATH UNIT PORTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN PER POUND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4265","description":"PARAFFIN PER POUND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN PER POUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4265","description":"PARAFFIN PER POUND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.2696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.2696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78072","description":"PARATHYROID IMAGING W/TOMOGRAPHIC SPECT  and  CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.4365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78071","description":"PARATHYROID PLANAR IMAGING W/WO SUBTRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.4969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.9028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.9028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4224","description":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9004","description":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9006","description":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4220","description":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTING CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9444","description":"PARENTING CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTING CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9444","description":"PARENTING CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION  GT 4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4222","description":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.4485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.6202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.5028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.4182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.6202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.5028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2149.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.8803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.6268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.8803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.7819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.5022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.5022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.6542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.1838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.6773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.1838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.6773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.5452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.5452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.7001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.8238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.7001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.8238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.7327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.3139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.7327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.6552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.3139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.9658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.9252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.9252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.2333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.2333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.0323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.0323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8046","description":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2546.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2681.154,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.7718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1766.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.7718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1780.0178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.6696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.3393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1780.0178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.6696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.3393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.1885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.9966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.1885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1644.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.7254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1644.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":931.7254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86406","description":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88333","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80506","description":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80505","description":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80504","description":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CONSULTATION DURING SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88329","description":"PATHOLOGY CONSULTATION DURING SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0640","description":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81313","description":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV13 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81314","description":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96567","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96571","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2616.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2616.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4530","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4530","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4529","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4529","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4531","description":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4531","description":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4532","description":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4532","description":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1989.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2983.8847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1989.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2983.8847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.3141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.7397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.0576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.4795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.7397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.0576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.4795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2468.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.3821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.7643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1645.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2468.2928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.3821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.7643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2829.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.0313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2829.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.0313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0201","description":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE PLETHYSMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54240","description":"PENILE PLETHYSMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE PLETHYSMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54240","description":"PENILE PLETHYSMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54304","description":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54304","description":"PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENIS STRAIGHTENING CHORDEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54300","description":"PENIS STRAIGHTENING CHORDEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENIS STRAIGHTENING CHORDEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54300","description":"PENIS STRAIGHTENING CHORDEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.7665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.2485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.2485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5200","description":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5200","description":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93582","description":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93582","description":"PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95004","description":"PERCUTANEOUS TESTS W/ALLERGENIC XTR IMMT RXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93583","description":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93583","description":"PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92972","description":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92972","description":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.7972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.4583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.4583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.1618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.3743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.7903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.7903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1506.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.8191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1506.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.8191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.6631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2076.4643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.0774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.1548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.6631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2076.4643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.0774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.1548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1354.4669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2390.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.3726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1354.4669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2390.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.3726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80417","description":"PERIPHERAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROSTHETIC CAPSULECTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERIPROSTHETIC CAPSULECTOMY BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.6575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.7903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.7368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11405.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.9646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3801.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.1563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6463.2797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7603.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11405.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.9646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3801.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.1563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6463.2797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7603.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2672.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4542.7536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5344.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8016.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2672.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.0848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4542.7536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5344.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8016.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19285","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.2633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.3151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64567","description":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64567","description":"PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22526","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.4222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22526","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.2668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.4222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.5792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22527","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22527","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.8084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.8084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.5675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.5109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.9898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.9898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.6077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.9095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.6077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.9938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.5894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.2207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.9903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.8632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.7423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.8632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.7423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.3757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.3757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.3816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.3793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.3816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.3793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.1334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.1334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.2771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36906","description":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2661.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.5506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4525.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5323.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7985.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36906","description":"PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2661.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.5506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4525.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5323.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7985.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36905","description":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2836.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.5408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36905","description":"PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.4193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2836.6223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.5408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36904","description":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.4437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2217.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36904","description":"PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.4437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2217.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.5422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.1573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93591","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93591","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93590","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.3384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93590","description":"PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.3384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93592","description":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93592","description":"PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.4822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.2563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.4822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92924","description":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92924","description":"PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92933","description":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.6715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92933","description":"PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.6715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92943","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92943","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22513","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2862.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4866.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5725.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8588.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22513","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1431.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2862.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.6015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4866.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5725.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8588.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22515","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1679.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2855.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3359.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5038.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22515","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1679.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.3483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2855.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3359.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5038.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2851.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4847.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5702.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8553.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2851.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.3297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4847.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.4946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5702.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8553.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22511","description":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1426.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.6926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.1678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22511","description":"PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.8361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1426.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.6926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.1678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22510","description":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2162.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.7609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22510","description":"PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2162.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.7609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PESSAR RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSAR RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.2298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.2298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.2115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.6376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.6376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.6325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.1807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.1807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.9514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.9514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.4966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.1666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.9609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.1666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.9609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1582.6703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.8465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1582.6703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.7784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.8465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH EXHALED BREATH CONDENSATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83987","description":"PH EXHALED BREATH CONDENSATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.6423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.6423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2512.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.6008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2512.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.6008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1668.1004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1962.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2943.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1668.1004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1962.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2943.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.7833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.9278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.7833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOGLUCONATE 6-DEHYD RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84085","description":"PHOSPHOGLUCONATE 6-DEHYD RBC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85598","description":"PHOSPHOLIPID NEUTRALIZATION HEXAGONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION PLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION PLATELET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.9826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.9826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94626","description":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94626","description":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94625","description":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94625","description":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01990","description":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01990","description":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":117.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":62.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81309","description":"PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87172","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0113","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65778","description":"PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.2865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.7443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.7443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.4002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.3804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1322.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.4002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.9567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.9567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.0705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.3603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.4322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54385","description":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54385","description":"PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR CANALICULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68700","description":"PLASTIC REPAIR CANALICULI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS CORRECT ANGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54360","description":"PLASTIC RPR PENIS CORRECT ANGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.1138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS CORRECT ANGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54360","description":"PLASTIC RPR PENIS CORRECT ANGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.1138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54380","description":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.0597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54380","description":"PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.0597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54390","description":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54390","description":"PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCG2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81320","description":"PLCG2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2049.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2049.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.4803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.9134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.4803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47541","description":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47541","description":"PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.1365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1770.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3010.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3541.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5312.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1770.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3010.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3541.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5312.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47539","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1938.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3294.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3876.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.1972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5814.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47539","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1938.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.1118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3294.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3876.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.1972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5814.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3429.2617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4034.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6051.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3429.2617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4034.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6051.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.2846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.2208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2788.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3280.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4920.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.1104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.2208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.1852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2788.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3280.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4920.6622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.1104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55876","description":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55876","description":"PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.6614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.6614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.5258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.5876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.2383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.1123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.3649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.1123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.3649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.2767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.2767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.1221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.1221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.2743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1475.7592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1475.7592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.4123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.5147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.4123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.5147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.2593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.4197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.5802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.3038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.9812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.719,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.0068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81315","description":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81316","description":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81324","description":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.2085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81325","description":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81326","description":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81319","description":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81317","description":"PMS2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81318","description":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.5631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.2329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.6463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.2329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.6463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1532.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.3668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1532.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.3668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1672.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.7458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1672.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.7458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.0817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.9678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.9893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.0817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.9678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.9893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1696.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2994.2798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.0466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.0933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1696.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2994.2798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.0466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.0933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1693.5901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1992.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2988.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.1147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1693.5901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1992.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2988.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.1147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.6266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.6266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4513.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4513.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0651","description":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS SEG HOM MDL W/CALBRTD GRADNT PRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0652","description":"PNEUMAT COMPRS SEG HOM MDL W/CALBRTD GRADNT PRSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5298.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1399.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1399.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.3838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":932.7675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLARIZATION ANY LENS MATERIAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2762","description":"POLARIZATION ANY LENS MATERIAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLARIZATION ANY LENS MATERIAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2762","description":"POLARIZATION ANY LENS MATERIAL PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90713","description":"POLIOVIRUS VACCINE INACTIVATED SUBQ/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1918.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.1186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1918.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.8693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86965","description":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHOBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84106","description":"PORPHOBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84126","description":"PORPHYRINS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUALITATAIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84119","description":"PORPHYRINS URINE QUALITATAIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84120","description":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0433","description":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0433","description":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.307,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0738","description":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0738","description":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0443","description":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY  Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0444","description":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY  Equal to 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE OXYGEN CONCENTRATOR RENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1392","description":"PORTABLE OXYGEN CONCENTRATOR RENTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1694.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1694.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0544","description":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0544","description":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-CATARACT LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66821","description":"POST-CATARACT LASER SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2632","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.3757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.3757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84132","description":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84133","description":"POTASSIUM URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10072.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11850.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10072.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11850.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0812","description":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13674.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16088.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13674.9653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16088.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2363.3085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2363.3085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1239","description":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2310.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2397","description":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED AIR FLOTATION BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"POWERED AIR FLOTATION BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED AIR FLOTATION BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0193","description":"POWERED AIR FLOTATION BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3198.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3198.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81343","description":"PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.9651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.9651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1897.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.6618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1897.9853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.6618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.5317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.1773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.5317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.1773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.8878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.6092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.8878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.0749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.0749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.862,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.2498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.2498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.9247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1434.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.9247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84134","description":"PREALBUMIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISOLONE ORAL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7510","description":"PREDNISOLONE ORAL PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISOLONE ORAL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7510","description":"PREDNISOLONE ORAL PER 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7512","description":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7512","description":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84163","description":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3036.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2310.1575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2705.4405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2408.6475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1917.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2292.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1589.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1446.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2023.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2452.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2095.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3505.1205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3079.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3548.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3269.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1816.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1443.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15013","description":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15013","description":"PREPARATION SKIN CELL SSP AGRFT 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15014","description":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15014","description":"PREPARATION SKIN CELL SSP AGRFT EA ADDL 25 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.6693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95144","description":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95144","description":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9291","description":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9291","description":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG BRAND NAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG BRAND NAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG GENERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG GENERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRETECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4438","description":"PRETECT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4438","description":"PRETECT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86970","description":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86972","description":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86971","description":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86977","description":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86978","description":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86976","description":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86975","description":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99402","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99402","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99404","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99404","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99402","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99404","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1774.7572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1774.7572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.5823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.5823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0316","description":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0316","description":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0318","description":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0318","description":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68810","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68816","description":"PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.6123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.7792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.1643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84145","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1330.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.0031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.6871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.6871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.8164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.8164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRESSIVE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2781","description":"PROGRESSIVE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRESSIVE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2781","description":"PROGRESSIVE LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0317","description":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0317","description":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67141","description":"PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67145","description":"PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67145","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67141","description":"PROPH RTA DTCHMNT W/O DRG 1 OR GT  SESS CRTX DTHRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.8838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.0957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.1209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.7305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.0957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.1209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.7305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.7659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.3435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.3435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.8692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.2897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.8692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.3445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.7428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.3445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.8838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.3188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.8838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55815","description":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.7241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1493.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2240.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55815","description":"PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.7241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1493.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2240.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.8965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55810","description":"PROSTATECTOMY PERINEAL RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.4138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55810","description":"PROSTATECTOMY PERINEAL RADICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1640.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.4138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55812","description":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55812","description":"PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55801","description":"PROSTATECTOMY PERINEAL SUBTOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY PERINEAL SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55801","description":"PROSTATECTOMY PERINEAL SUBTOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55831","description":"PROSTATECTOMY RETROPUBIC SUBTOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC SUBTOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55831","description":"PROSTATECTOMY RETROPUBIC SUBTOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55840","description":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.0291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55840","description":"PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.0291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55821","description":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55821","description":"PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.6525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55725","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.9843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55725","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.9843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55720","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55720","description":"PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.0002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55845","description":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2044.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.7381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.4763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55845","description":"PROSTECT RETROPUB RAD W/WO NRV SPAR  and  BI PLV LYM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1158.5096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2044.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.7381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.4763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55842","description":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.9116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55842","description":"PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.9116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.0792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.1715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.1715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.6089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.5785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.8373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.8373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS SERVICE APHAKIA TEMPORARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92358","description":"PROSTHESIS SERVICE APHAKIA TEMPORARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS SERVICE APHAKIA TEMPORARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92358","description":"PROSTHESIS SERVICE APHAKIA TEMPORARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2629","description":"PROSTHETIC EYE OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2629","description":"PROSTHETIC EYE OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.9882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.9882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88372","description":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88371","description":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84166","description":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84165","description":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84160","description":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84157","description":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84156","description":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84182","description":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84181","description":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84155","description":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85611","description":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.8833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77523","description":"PROTON TX DELIVERY INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.8833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84202","description":"PROTOPORPHYRIN RBC QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84203","description":"PROTOPORPHYRIN RBC SCREEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.3411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.0464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.0464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.9168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.0282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1831.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1221.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.4175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1831.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.9068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.2718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.0626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.7455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.1495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1593.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.8084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.5012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.6521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1596.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1596.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.6475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1969.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.5808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1969.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.0873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.5257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.3505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.5257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.1966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.8632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.7423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.3757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.4263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PRQ SKEL FIXJ METAR FX W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.3816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.3793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.2468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.4105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.8648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.3105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.5575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.9771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.9618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.6381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.5627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.9715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.2755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37197","description":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37197","description":"PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.2902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.8243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.0671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.8243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.1374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.0671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92924","description":"PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.1334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92943","description":"PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92933","description":"PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.6715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTB O C LQD 1 MO SPL Equal to 1 U PRSC AMT R/N EXCD 4LPM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0447","description":"PRTB O C LQD 1 MO SPL Equal to 1 U PRSC AMT R/N EXCD 4LPM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR AND MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0431","description":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR AND MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0434","description":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2819.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1879.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2819.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.8724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.6357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1596.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2394.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.6357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1596.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2394.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2253.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2651.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3977.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.8702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2253.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2651.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3977.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.8702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.8279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1739.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2609.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.9494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.8279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1739.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2609.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.9494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.7538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1519.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2279.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.8769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.7538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2402.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3603.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.5974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2402.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3603.5843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.5974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.6026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.5193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.6026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.7596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.7077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.7783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.7077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.1855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.7783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.8756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.2936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.8733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.8733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.0355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.5178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.0355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.6925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.6925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.6192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.5397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.6192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36456","description":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36456","description":"PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL HYMENECTOMY/REVJ HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PRTL HYMENECTOMY/REVJ HYMENAL RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.4088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.6316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.4088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0490","description":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2621","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2614","description":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0437U","description":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0345U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0411U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0423U","description":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96146","description":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96146","description":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8681","description":"PT PROG W/IMPL PROG NEUROSTM PULSE GEN REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81323","description":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81321","description":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81322","description":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.3709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81554","description":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3644.7469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4287.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.5857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2102.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.9327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1191.5857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2102.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.9327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1541.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1541.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.3648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.2976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.6758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.2976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2222.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.6758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7376,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64462","description":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64462","description":"PVB THORACIC SECOND  and  ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6130.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6130.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0477","description":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0477","description":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0801","description":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0800","description":"PWR OP VEH GRP 1 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1878.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2906.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OPERATED VEH SPEC BRAND NAME  AND  MODEL NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1230","description":"PWR OPERATED VEH SPEC BRAND NAME  AND  MODEL NUMBER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.4295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8702","description":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56660.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8701","description":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28798.9275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2358","description":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.6925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3923.2515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3923.2515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2360","description":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2331","description":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.9585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2362","description":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2372","description":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2236.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2236.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3780.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3780.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2364","description":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2666.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2666.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2444.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2444.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1909.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1909.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2783.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2783.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3510.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3510.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3553.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3553.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3429.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3429.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3834.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3834.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4116.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4116.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5128.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5128.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3331.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3331.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3809.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3809.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3185.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3185.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3419.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3419.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2618.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2618.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2040.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2040.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3990.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3990.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3164.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3164.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3722.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3722.796,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4220.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4220.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4963.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4963.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7519.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7519.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5022.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5022.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5469.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5469.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5313.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5313.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5571.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5571.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5571.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5571.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4666.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4666.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5760.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5760.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4853.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4853.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4497.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4497.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6085.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6085.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6562.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6562.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4183.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4183.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7960.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7960.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7960.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7960.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5607.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5607.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9472.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9472.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7631.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7631.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7208.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7208.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6129.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6129.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6129.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6129.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5338.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5338.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4947.4635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4947.4635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4939.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4939.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4424.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4424.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6373.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6373.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0884","description":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6373.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0868","description":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4602.1395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5845.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5845.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5132.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5132.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7635.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7635.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7875.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7875.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.7395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1689.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1689.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.5365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1421.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.6776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1421.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.6776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.0135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.0135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY W/REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.2078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.7311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.7311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Prednisolone oral per 5 mg","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7510","description":"Prednisolone oral per 5 mg","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Progressive lens per lens","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2781","description":"Progressive lens per lens","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Prosthetic eye other type","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2629","description":"Prosthetic eye other type","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.7418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80299","description":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.4527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.2535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.1423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.6904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.3808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1144.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.1423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.6904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.3808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90376","description":"RABIES IG HEAT-TREATED HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.2495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90375","description":"RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.2495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.0865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.0865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90675","description":"RABIES VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2090.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.9218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2090.7653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.9218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.4271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.4271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.8638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.7768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.6213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.5561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.3303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.8638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.3634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.9892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.3634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.3558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.3558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.9105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.9105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.9105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1351.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2027.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.0243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.0243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.3495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1400.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.1356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.2713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.8743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.4302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.8621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.8743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.0753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.0753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.1599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.9072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.9072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.5228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.5228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.2588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.2588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.6757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.4258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.4258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.5368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.2561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.5123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":955.5368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.2335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1319.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.0675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.0675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.5204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.5204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.9942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.9942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.0821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.2248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.3184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.0821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.7135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.7135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.3494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2042.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72083","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72084","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6 OR GT  VW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY  GT or equal to 1 MEV INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY  GT or equal to 1 MEV INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY 1 MEV  Equal to  GT  INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY 1 MEV  Equal to  GT  INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.1328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.2752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.1328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.2752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.0885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.6215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.6215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.9295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.8952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.7601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.9295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1213.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.1887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1653.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.9287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1653.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.9287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.4379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.5403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.6272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.4918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.1053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.6935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.0403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.1053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.6635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.1355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1423.9418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.2945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1246.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1246.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.4168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.6668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73552","description":"RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74248","description":"RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.1506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78835","description":"RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.8925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0583U","description":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2537.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2985.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0582U","description":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5075.3351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5970.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0213U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1813.9706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2134.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0212U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3664.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4311.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R 1ST LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7304,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQUISITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQUISITION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1451.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2561.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1451.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2561.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.3308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.2306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.0579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.4679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.4679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.7692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.7692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.2987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.9993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.2987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.9978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.3181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67971","description":"RCNSTJ EYELID FULL THICKNESS  LT TWO-THIRDS 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.3181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.1495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.8425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67973","description":"RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.7638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.9213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.4661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.8425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67975","description":"RCNSTJ EYELID FULL THICKNESS SECOND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.1365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1091.5853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.9309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67974","description":"RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1091.5853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.9309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.7235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1738.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.2397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1945.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1945.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1945.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.5168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1738.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.2397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1738.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.5528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":985.2397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.4503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.4964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.9005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.3465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.4503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.4964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.2487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.2487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.9683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.1963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.4857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.3884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.7767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.7205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.7774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.2675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.8169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.6338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.7774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.2675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.6768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.6768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.3553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.1776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.3553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.6039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.7105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.8874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.9669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.8874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.0463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.0463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.6421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1854.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.6421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1854.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.7944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.8203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.7944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2048.4607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.8203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2214.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3321.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2214.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3321.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1745.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2053.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3080.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1745.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2053.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3080.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2485.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1657.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2485.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1560.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2340.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.1395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1560.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2340.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.1395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.2786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.2786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1920.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.4573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1280.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1920.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1524.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.9489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1524.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.9489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1303.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1303.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.5276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.5276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.9677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.9677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1822.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2734.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1822.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2734.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1589.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1870.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2805.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.2507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1589.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1870.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2805.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.2507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1427.8036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1679.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2519.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1427.8036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1679.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2519.6535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.8845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.7028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.4685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.7028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.2343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.9982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.4685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.5997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.2935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.5997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.2935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.1514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2120.9423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.9808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2120.9423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.9808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.6627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.7513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1520.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.4856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1520.2688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.4856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1491.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2237.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.4467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.8198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.4467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.8198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.4285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.2228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.6683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54600","description":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54600","description":"RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.0627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.4635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.9188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.9188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.0953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.1508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.6975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84235","description":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84238","description":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.3767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.3767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1152.0023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.2044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4138.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.2044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4138.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.4397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":809.4397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21256","description":"RECONSTRUCTION ORBIT W/OSTEOTOMIES  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.6283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.5146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1934.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4453","description":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4453","description":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4563","description":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4563","description":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MAMMAPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"REDUCTION MAMMAPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.4319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.9624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OVERCORRECTION PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67909","description":"REDUCTION OVERCORRECTION PTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.1402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1353","description":"REGULATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB SYS INTERACT INTF PROV ACTV ASST RHB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0739","description":"REHAB SYS INTERACT INTF PROV ACTV ASST RHB TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13157.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.6536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2275.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.6198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.6536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2275.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.6198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.1028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65155","description":"REINSERTION OCULAR IMPLT RNFCMT  and / ATTACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.4634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.9268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.8582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.1028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.2381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65150","description":"REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.2381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67115","description":"RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.9468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.8935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.4832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.3233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.9873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.5517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99445","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99445","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR DEV SPLY DATA MUSCSKEL SYS EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98977","description":"REM THER MNTR DEV SPLY DATA MUSCSKEL SYS EA 30 D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR DEV SPLY DATA RESPIR SYS EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98976","description":"REM THER MNTR DEV SPLY DATA RESPIR SYS EA 30 D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2010","description":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2010","description":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92228","description":"REMOTE IMAGING MGT RETINAL DISEASE W/I and R UNI/B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IMG DX RETINL DIS W/ALYS  and  REPORT UNI/B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92227","description":"REMOTE IMG DX RETINL DIS W/ALYS  and  REPORT UNI/B","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93264","description":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93264","description":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98980","description":"REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98981","description":"REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.3535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.5303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.2663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.1168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.1168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64658","description":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64658","description":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.8864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64659","description":"REMOVAL BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64659","description":"REMOVAL BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.6555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.4833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64657","description":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64657","description":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.5996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47544","description":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47544","description":"REMOVAL BILIARY DUCT  and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.9275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.9795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.5992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EMBEDDED FOREIGN BODY EYELID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67938","description":"REMOVAL EMBEDDED FOREIGN BODY EYELID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.4969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.1114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.9428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.3143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.9428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43285","description":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43285","description":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65205","description":"REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54115","description":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54115","description":"REMOVAL FOREIGN BODY DEEP PENILE TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.8895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.4545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4136,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SCROTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55120","description":"REMOVAL FOREIGN BODY SCROTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SCROTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55120","description":"REMOVAL FOREIGN BODY SCROTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.5068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.5203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.3288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.6196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.3288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.6605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.3853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.6657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.1317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.9383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.7726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.1588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT MAMMARY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT MAMMARY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATERIAL EXTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66940","description":"REMOVAL LENS MATERIAL EXTRACAPSULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.3383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66930","description":"REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1619.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2857.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1619.3699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2857.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.5705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2597.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1471.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1731.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2597.2695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL MAMMARY IMPLANT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"REMOVAL MAMMARY IMPLANT MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.1853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OCULAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65175","description":"REMOVAL OCULAR IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.1853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.3247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.3247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1797.0435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.7455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.7455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.9226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.9226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.5693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33997","description":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33997","description":"REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.0944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.0944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23333","description":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23333","description":"REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61892","description":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.3577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61892","description":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.0596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.3577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":995.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.3216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6014,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.1888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.1888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.1888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.8034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.6067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2152.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.8034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.6067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1589.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1589.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.1102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.0912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.1102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.3807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.3629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2478.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.2923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2478.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.2923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.8346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1956.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2934.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.8346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1956.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2934.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1653.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.0804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1653.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.0804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1653.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.0804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.4643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.4643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80069","description":"RENAL FUNCTION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.4859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.5458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.7565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.1348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.9836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.3412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.8704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.9836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.3614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.3614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.4613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80416","description":"RENAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI AC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4436","description":"RENATI AC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI AC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4436","description":"RENATI AC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4435","description":"RENATI MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4435","description":"RENATI MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.6345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.9218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.9223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.9218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.2404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.0713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.0119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.0238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.2404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.0713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1622.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.2571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1622.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.2571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1077.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1077.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.2231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.2231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROW PTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67900","description":"REPAIR BROW PTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1850.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3265.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1850.3846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3265.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.1906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1994.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.1906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1994.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.8123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.8768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.1461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.2922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.5845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.8768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1570.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.7493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.9475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13151","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.7252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13152","description":"REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.2477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.3182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.1965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.1965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.3472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.3472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.7384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.7384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.4647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.4883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.4647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.7441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.4883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.9765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.3396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.8025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.7321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.8025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.9485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.9485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67916","description":"REPAIR ECTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67917","description":"REPAIR ECTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.9914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.3244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67914","description":"REPAIR ECTROPION SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ECTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67915","description":"REPAIR ECTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.5391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXCISION TARSAL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67923","description":"REPAIR ENTROPION EXCISION TARSAL WEDGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6204,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67924","description":"REPAIR ENTROPION EXTENSIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.2623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67921","description":"REPAIR ENTROPION SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.2623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTROPION THERMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67922","description":"REPAIR ENTROPION THERMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9802,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.8643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.4231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.8643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.1978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.1978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.7151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.7151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.5612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.5612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.8355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.6392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.7557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.1705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.7557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.8438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.8438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.3929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.3929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.3613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INCOMPLETE CIRCUMCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54163","description":"REPAIR INCOMPLETE CIRCUMCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INCOMPLETE CIRCUMCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54163","description":"REPAIR INCOMPLETE CIRCUMCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12057","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.5666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12055","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12051","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12052","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.5565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12056","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 20.1-30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.2498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.7036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.4159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12053","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 5.1-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6756,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12054","description":"REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.2138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.2138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.0741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.5223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.2433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR IRIS CILIARY BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66680","description":"REPAIR IRIS CILIARY BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.2433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1538.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.6869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1538.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.6869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.8695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.8695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.6468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.6468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.4573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1018.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.4573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.9718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.9153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.7482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.7482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.7477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.7477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.2329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.2329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1257.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.4802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.4217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.0255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.4217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.9818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.4973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.1793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.1793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.1976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.0545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.0815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.2445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.7029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.7029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.0415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.8403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.6805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.8569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.2658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.2927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.8783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.2658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.6988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.1626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1777.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1777.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.1668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.1668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.4521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.2095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.7431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.7431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.2553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.0302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.3535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.0302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2029.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.2094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2029.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.2969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.5938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.9703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.1095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.7945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.2054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66225","description":"REPAIR SCLERAL STAPHYLOMA W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.4793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.3147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.4377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":889.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.3318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1211.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.6835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.3292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0603","description":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1701","description":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7502","description":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7502","description":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1702","description":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT/FLX DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1820","description":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT/FLX DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1821","description":"REPL SFT INTERFCE MATL/CUFF BI-DIR STAT DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2823.2505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4281.7425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3259.6725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.5888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.6748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.3442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1454.0243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.6748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.3442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.3495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1818.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.8816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.2985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1818.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.8816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.2872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1701.4253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1701.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2001.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.2278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.1499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.2872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1334.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1701.4253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1701.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2001.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.1418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.2278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.1499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.3389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.6093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.6093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.8748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.3168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.8748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.3168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.0288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.0375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.2638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1499,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4060","description":"REPLACE HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4050","description":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.8665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4040","description":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4055","description":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4045","description":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PRETIBIAL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4130","description":"REPLACE PRETIBIAL SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.2515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4030","description":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4394","description":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2239.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3358.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2239.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3358.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2186.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3279.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.0658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.2118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2186.1315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3279.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.5329,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT CONTACT LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.9095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.9095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2977.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2977.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF CONTACT LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92326","description":"REPLACEMENT OF CONTACT LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1798.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2697.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.7097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1798.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2697.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4392","description":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.1942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.6302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.5857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2732.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.5857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2732.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3298.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2198.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3298.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1911.8064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3373.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1911.8064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3373.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2335.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2747.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4121.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2335.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2747.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4121.1135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4991.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4991.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4630","description":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4630","description":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4633","description":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4633","description":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3223.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.2463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66825","description":"REPOSITIONING IO LENS PROSTHESIS REQ INC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7510","description":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0739","description":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.1778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.3169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.2413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.5103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.3169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPTILASE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"REPTILASE TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.6018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.8673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1655.7345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.6018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.8673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2066.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.8735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.2933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.1955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1338.2933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.0978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.3662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.1955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.7346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.6493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.5498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.7346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.6493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1524.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.0382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1524.7733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.0382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.1175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.1458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.6501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.6501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.5295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.6308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.8574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.6308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1972.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1972.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1924.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.5028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.0055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1924.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.5028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.4082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.7155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.1789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58958","description":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.7612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58958","description":"RESCJ RECR OVR TBL PP UTR MAL OMNTC PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.7612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.3669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2319.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2728.7977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.5993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.3669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2319.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2728.7977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.5993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.6418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.9253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.6418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2130.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2130.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1883.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2216.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3324.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1883.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2216.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3324.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2472.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1401.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2472.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.3235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.5789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2251.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.5789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2251.0215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1981.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2971.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1981.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2971.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1825.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3222.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.1132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1825.9925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.2265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3222.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1856.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2785.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.4258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1856.8515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2785.2773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.4258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2584.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.5513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.6371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1723.1025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2584.6538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.7756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.5513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.6153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.8718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.6153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.0192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.0192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.1699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.0717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.0717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.4073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":928.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.0822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.0822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.2995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.9493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.4319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1087.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.4319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58958","description":"RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1564.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.7612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.5698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.5698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION SCROTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55150","description":"RESECTION SCROTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION SCROTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55150","description":"RESECTION SCROTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1699.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2548.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.5078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1699.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2548.5232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.5078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.3315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.3075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.1625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.0243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1427.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1427.8005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7009","description":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7009","description":"RESRVOR BOTTLE NON-DISPBL W/LG VOL US NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETICULATED PLATELET ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85055","description":"RETICULATED PLATELET ASSAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION ALCOHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67505","description":"RETROBULBAR INJECTION ALCOHOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.264,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RETROBULBAR INJECTION MEDICATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67500","description":"RETROBULBAR INJECTION MEDICATION SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24371","description":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2051.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.8073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24371","description":"REVIS ELBOW ARTHRPLSTY HUMERAL AND ULNA COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2051.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.8073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24370","description":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1778.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.9192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24370","description":"REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.9627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1185.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1778.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.9192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.8143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2038.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2038.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.7328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.4028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.4028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.2361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.2373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.2373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2451.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.0418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.5268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54352","description":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.1519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54352","description":"REVISION PRIOR HYPOSPADIAS REPAIR DSJ and EXC RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.1519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.6939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.7458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.2373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.3601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.8515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.2677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0446,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.5465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.602,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64655","description":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64655","description":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.9275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.3265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.9898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":792.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64656","description":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64656","description":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.6481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.586,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVAL AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4437","description":"REVIVAL AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVAL AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4437","description":"REVIVAL AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4424","description":"REVIVE FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4424","description":"REVIVE FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4425","description":"REVIVE TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4425","description":"REVIVE TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66185","description":"REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.6903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.6208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.3834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.3002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.3834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.3002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.0187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.8455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.2682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.2713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.4204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.2713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.4204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1551.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1551.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.3824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.5353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.2833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1069.5353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.2833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.2559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.5118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.0272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.9374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.8308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.2422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.9374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.2205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.4303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.8594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.2908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.4303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.9314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.8594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2451.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.0418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1388.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2451.1253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.0418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2443.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22838","description":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1959.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2305.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.5736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22838","description":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1959.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2305.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.5736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66184","description":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.0178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66184","description":"REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.6953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.1819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.0858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.0178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.7012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.4025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.5842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1274.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.7012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.4025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2538.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.1316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.2633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2538.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.1316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.2633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.9532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.3843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.9532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.3843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1513.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2270.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.9817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1286.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1513.9635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2270.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.9817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4991.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.8809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4991.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.8809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3327.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4991.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.8809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.6442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.4295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.6442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.7523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.4263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.7523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57296","description":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57296","description":"REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.1956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.1688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2443.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2443.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.4933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.6595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.4838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.6773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.3253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.4838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.6773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.3253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61891","description":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.6833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.3268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61891","description":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.8845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.6833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.3268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.0048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66250","description":"REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.9442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.0048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37265","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.3091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2636.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4482.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5273.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7909.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37265","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.3091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2636.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.9822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.1581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4482.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.7333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5273.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.0438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7909.8547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37266","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.9121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37266","description":"REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.9121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1885.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2828.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.8895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37263","description":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2095.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3562.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4191.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6287.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37263","description":"REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2095.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.4767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3562.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4191.4845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6287.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37264","description":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2527.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37264","description":"REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.2305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2527.4655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37273","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10192.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15288.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2548.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5096.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8663.3279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37273","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10192.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15288.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2548.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.9261,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5096.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8663.3279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37274","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1925.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2888.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.3358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37274","description":"REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.5416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1925.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2888.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.0863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.3358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37271","description":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12202.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2033.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4067.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.1728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6914.9383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8135.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37271","description":"REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12202.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2033.8054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4067.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.1728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6914.9383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8135.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37272","description":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1535.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1806.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2709.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.0052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37272","description":"REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1535.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1806.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2709.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.5026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.0052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37277","description":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10099.9227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11882.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17823.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2970.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5941.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.8623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37277","description":"REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10099.9227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11882.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17823.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2970.5655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.2441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5941.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.8623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.7838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37275","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11880.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3960.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6732.5559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7920.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37275","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11880.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.6653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.0183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.0309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3960.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.0548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6732.5559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7920.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37276","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1333.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2267.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2667.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4001.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37276","description":"REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1333.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.4543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2267.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2667.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4001.3348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.8891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37269","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13369.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2228.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4456.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.2708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7575.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8912.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37269","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.5451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13369.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2228.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.4534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4456.4048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.2708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7575.8881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8912.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37270","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2698.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4047.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37270","description":"REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1349.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.8589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2698.6575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4047.9863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.6644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37267","description":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.1966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2012.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3421.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4024.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6037.1797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37267","description":"REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.1966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2012.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3421.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4024.7865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.2517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6037.1797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37268","description":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2201.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2590.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3885.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37268","description":"REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.5423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2201.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2590.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3885.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37298","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2260.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2658.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.7883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3988.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37298","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.2872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2260.1492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2658.999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.7883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3988.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.8618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.7498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37299","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.1478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.4837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37299","description":"REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.1478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.6783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.396,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.4837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37296","description":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.4199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2361.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3542.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.4649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.4176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37296","description":"REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.4199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2361.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3542.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.4649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.4176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37297","description":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.7082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37297","description":"REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.1578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.7082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37256","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1613.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1898.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2847.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37256","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1613.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1898.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2847.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.4082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.7176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37257","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37257","description":"REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6644,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37254","description":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1612.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2419.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37254","description":"REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.9335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1612.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2419.2945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.2157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.4315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37255","description":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37255","description":"REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.2102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37260","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3256.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.4852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.1569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5535.5349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6512.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9768.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37260","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.5795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.857,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3256.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.4852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.1569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.714,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5535.5349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6512.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9768.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37261","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2204.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2593.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3890.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37261","description":"REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.7133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.8113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2204.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2593.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3890.1398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37258","description":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1380.4507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2760.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4141.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37258","description":"REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1380.4507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.1963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2346.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2760.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4141.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37259","description":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.8705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37259","description":"REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.7521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1406.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.4676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.8705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37282","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4010.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4717.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7076.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37282","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2358.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4010.2881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4717.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7076.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37283","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37283","description":"REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.7691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.5382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.0765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37280","description":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3150.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37280","description":"REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.0472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.0803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3150.1418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.9913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37281","description":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.0458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37281","description":"REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.0458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37290","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12334.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4111.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6989.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8222.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37290","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12334.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.8254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.6848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4111.3695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.8063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6989.3282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8222.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37291","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37291","description":"REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1267.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.1884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37288","description":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3011.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.5684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5120.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6023.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9035.7593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37288","description":"REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3011.9197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.5684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5120.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6023.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.5913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9035.7593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37289","description":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37289","description":"REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.3082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37294","description":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11719.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17579.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2929.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.2337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5859.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.3442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9961.4602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37294","description":"REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11719.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17579.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2929.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.2295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.2337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5859.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.3442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9961.4602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37292","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11847.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3949.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6713.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7898.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37292","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11847.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1974.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3949.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.5597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6713.3136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7898.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37293","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2305.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2712.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4069.0283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.1714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37293","description":"REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2305.7827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2712.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4069.0283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.1714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37286","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11996.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.4546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3998.9092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6798.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7997.8185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37286","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11996.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.4546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3998.9092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.5153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6798.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7997.8185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37287","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3236.0354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3807.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5710.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.7751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37287","description":"REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.9359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.911,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1903.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.4163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3236.0354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3807.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5710.6508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.7751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37284","description":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3699.5553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4352.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6528.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37284","description":"REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2176.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3699.5553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4352.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6528.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37285","description":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2150.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3225.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37285","description":"REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.7508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2150.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3225.4425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.5738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37278","description":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2543.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2991.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.9872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4487.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.9964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37278","description":"REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1495.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2543.1877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2991.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.9872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4487.9783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.0218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4979,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.9964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37295","description":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2315.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3936.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4630.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6946.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37295","description":"REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2315.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3936.1303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4630.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6946.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8684","description":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8683","description":"RF TRNSMT USE W/IMPLANTABLE NEUROSTIM RF RECV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5395.4355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86430","description":"RHEUMATOID FACTOR QUALITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86431","description":"RHEUMATOID FACTOR QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.5372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.7277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.5372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30420","description":"RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.3578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5596,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30435","description":"RHINOPLASTY SECONDARY INTERMEDIATE REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.4768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1446.9053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.3017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MAJOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30450","description":"RHINOPLASTY SECONDARY MAJOR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1446.9053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.1509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.3017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPLASTY SECONDARY MINOR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30430","description":"RHINOPLASTY SECONDARY MINOR REVISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.4414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.1823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.1098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1068.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1602.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.0911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.1823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.1098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.7755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.1865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.7365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2561.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2561.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.9671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.9671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT VENTRICULAR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"RIGHT VENTRICULAR RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT VENTRICULAR RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93603","description":"RIGHT VENTRICULAR RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINGERS LACTATE INFUSION UP TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7120","description":"RINGERS LACTATE INFUSION UP TO 1000 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.2241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.9838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.2241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.3225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.9838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67343","description":"RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.4174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54410","description":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.0033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.9352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.3355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54410","description":"RMVL  AND  RPLCMT INFLATABLE PENILE PROSTH SAME SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.0033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.3339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.6678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.9352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.3355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.3512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.2797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.6705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.2797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54411","description":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54411","description":"RMVL  AND  RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54417","description":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54417","description":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.3203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3312,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54416","description":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.3811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.0843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54416","description":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.3811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.0843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.2249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1449.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.2249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65930","description":"RMVL BLOOD CLOT ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.9218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1293.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1293.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65436","description":"RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65435","description":"RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.4179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2291.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.7752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.6785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.1153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.4202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.6828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.8943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.9609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.1663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.8555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.1288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65900","description":"RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.2361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65235","description":"RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.2523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.6218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.1368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65260","description":"RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65265","description":"RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.9661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.8645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65220","description":"RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65222","description":"RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65210","description":"RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68530","description":"RMVL FB/DACRYOLITH LACRIMAL PASSAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.3235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.7633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.4852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.159,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.2625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.6383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.4348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1862.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.4348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1862.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65920","description":"RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.0623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.1863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67120","description":"RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.2313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.6938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.1084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.1913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67121","description":"RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.1084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.1913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.9015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.9191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.9191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.5619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.7776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.5619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.8428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.3583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66840","description":"RMVL LENS MATERIAL ASPIR TQ 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.8961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.3583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.0411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL INTRACAPSULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66920","description":"RMVL LENS MATERIAL INTRACAPSULAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.0411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.519,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.6283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.6177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66852","description":"RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.6102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.6177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.7888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66850","description":"RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.1925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.7888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1709.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.6124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1139.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1709.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.6124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1662.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1585.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1585.1902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.5714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2086.8908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.8151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.6302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.5714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2086.8908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.8151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.6302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.4444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2056.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.4444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2056.6665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6454,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54415","description":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.2028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54415","description":"RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.7343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.2028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.4918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.9835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.5752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.8557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.5538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.1075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.6613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.5313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.2842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.1344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.7055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.5313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.0671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.0595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.0671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.2488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.1229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.4938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.7463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.1068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.2488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.7023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.1229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.4938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.7463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.9981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1425.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.9981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.3885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.5812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.6298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.6298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.9565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.6024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.8481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.9704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.7713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.9704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.7713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.3019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.4179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2291.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.7752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.4179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2291.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.8876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.7752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.5718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.0993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.1985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.1777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.6078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"RMVL TRNSPLED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.7455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.3413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.9997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.5428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2837.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2837.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67005","description":"RMVL VITREOUS ANT APPR PARTIAL REMOVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.2426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.3608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67010","description":"RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.1435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.5432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.3439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.2084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.7103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.1799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.3598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.0793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.0192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.9776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.0192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.5228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.5228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.2705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.3945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL EXPL X NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RNL EXPL X NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.9784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.9831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.4995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.9232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.8598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.6155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.5793,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.9232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.4757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.4757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.2917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.6675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3381.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3381.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.8615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.8615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78831","description":"RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG GT 2 Plus D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78832","description":"RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.9123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78830","description":"RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.3465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.2425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2071.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3107.0497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2071.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3107.0497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.8518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2921.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3725.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4382.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.3984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.8518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2483.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2921.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3725.0325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4382.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.8388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.3984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.0676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2058.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3088.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.7258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.0676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2058.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3088.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.7258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.6832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2657.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.6832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2657.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.654,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.7308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.9195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.8117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.3018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1028.3018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.1549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.8615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8102,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.7043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.7331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.7825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2156,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.4063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.1433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.4888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.1433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1839.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.2898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.7633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1839.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2759.2898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.8816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.7633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.6151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2406.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1363.6151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1604.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2406.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.1333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.0422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.1333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.9074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.2533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.7102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.5598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.2533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.2089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.6597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.9877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.6597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.9877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.6947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1790.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2685.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.1145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.6947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1790.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2685.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.1145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2642.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.4097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2642.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.4146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.8293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.9929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2315.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.9929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2315.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.4625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99470","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99470","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.1377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.7354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.6508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.9342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.7354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.6055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.6508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68340","description":"RPR  and  DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.7545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.9493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.0591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.087,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.3395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1146.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1949.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3440.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1146.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1949.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3440.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.7055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.6664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.7055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.7641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.4391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.9142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.9181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.9142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.5345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.6035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.9086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.8954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1615.8356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2851.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1615.8356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2851.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.4915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1944.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2916.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1652.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1944.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2916.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.3854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.1021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1254.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.1083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1254.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":711.1083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.7008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.3304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.7008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.1507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.9854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.1005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1521.1507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.0502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.9854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.4885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.7222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.7222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.2151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.2151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.8633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.8633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.5662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.5662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.8432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.8432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2096.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2096.3565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.0765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.2295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.0765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2465.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1643.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2465.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.4062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.4743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.4062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.4227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.4743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.6744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.6744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1306.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1536.6803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1306.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1536.6803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.8084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1560.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2341.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.2377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.8084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1560.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2341.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.2377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.4755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.0147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2055.0443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.0147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67902","description":"RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.5973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.9875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67901","description":"RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67903","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.8558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.5673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67904","description":"RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.7676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67906","description":"RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1355.7285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1690.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.1352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.2975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.2163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.1352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.8755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.9644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.6789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.7863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.9644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.9288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.6789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1669.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.8983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.8215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1669.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.8983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1436.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67908","description":"RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.5682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.5468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.6902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.9185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.3872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.1486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1549.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.1486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1592.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1873.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2810.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1592.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1873.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2810.7135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1776.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2664.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.8244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1776.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2664.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.5779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.5779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2570.4315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.8105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2287.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3430.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1943.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2287.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3430.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.7565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2206.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3309.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.2318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2206.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3309.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1672.8752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1968.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2952.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.0442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1672.8752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1968.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2952.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.0221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.0442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.8302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.8302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1579.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2787.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.2133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1579.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1858.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2787.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":929.2133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.6301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3048.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.6301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3048.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1383.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67113","description":"RPR COMPLEX RETINA DETACH VITRECT  AND MEMBRANE PEEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1383.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54408","description":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.7313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54408","description":"RPR COMPONENT INFLATABLE PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.1144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.7313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"RPR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.1965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1665.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.5701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.7384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1299.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.2893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1299.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.2893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.5785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2284.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.3214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2284.0965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1192.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.2805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1192.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.6403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.9884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.2805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.3493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.3222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.6397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.8935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.4823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.6397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.1908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1915.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.1908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1915.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.3475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.6003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.8175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.4519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1007.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.8976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.7953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.4519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.4033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.4033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.5128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1432.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2148.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.0689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.6288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.0689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1861.8863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.6288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.0115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.5058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2641.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2641.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1496.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1761.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2641.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1629.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54340","description":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54340","description":"RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54348","description":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.0035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54348","description":"RPR HYPOSPADIAS COMPLCTJS DSJ  and  URTP FLAP/GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.5053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.5017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.0035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54344","description":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54344","description":"RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS  AND  URTP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.2655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.0885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOSPADIAS CRIPPLE W/DSJ  and  EXC  and  GRFS/FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54352","description":"RPR HYPOSPADIAS CRIPPLE W/DSJ  and  EXC  and  GRFS/FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.1519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1544.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1544.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2317.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.2653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.8435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.2164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2313.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.3038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.2164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.6075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2313.9113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.3038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.7439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.0933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1443.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2547.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.5859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.1718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1443.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.3435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2547.5153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.5859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.1718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.086,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65286","description":"RPR LAC APPL TISSUE GLUE WOUND CORNEA and /SCLERA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65273","description":"RPR LAC CJNC MOBLJ  and  REARGMT W/HOSPIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.068,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65272","description":"RPR LAC CJNC MOBLJ and  REARGMT W/O HOSPITALIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65270","description":"RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.817,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65285","description":"RPR LAC CORN and /SCLRA PERF W/REPOS/RESCJ UVEAL T","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.6933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.3886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.0798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65275","description":"RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.2745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.1805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65280","description":"RPR LAC CORNEA and /SCLERA PERFOR X INVG UVEAL TIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.5606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.2245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2839.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4259.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.8788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.7575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2839.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4259.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.8788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.7528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"RPR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.5763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.1796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.7288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.7105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.2881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.0885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.6723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.3445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.0168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5366,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.3361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.8937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.6985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.4681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.7847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.4681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2958.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3480.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5221.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.2164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1740.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2958.7357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3480.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5221.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.2164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.0532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.9302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.0532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1575.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2363.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.5176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1575.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2363.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.5705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.6938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.2931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1581.6938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.2313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.2931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.5686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.5686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1119.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.7963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.0528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.0965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.0965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.9214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.0965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.9402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1445.1885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.9402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.7437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.7437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.6985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.0483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.5607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.0483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.5607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.3993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.8999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.3993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1920.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2880.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1920.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2880.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30468","description":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2223.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30468","description":"RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.7301,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.9943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2223.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3334.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.7118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.7118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.4438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.7406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.4438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1932.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2898.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1932.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2898.2048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.0683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1426.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1212.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1426.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2140.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.7218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.9099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.0705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.4282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.2561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.4389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.8778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.6333,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.8788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.5939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.7575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1777.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1460.1668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.7223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.4445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.1497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3277.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1857.1497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3277.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.2205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.7298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.6065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.0311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.7298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.812,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.8423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.582,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.8423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.3317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.3317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.4137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2113.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.4137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2113.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.2546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2735.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.2546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2735.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.4773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.9545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.4318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.1823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.1215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.1823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.2369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.2835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.8505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67101","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2647,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.8261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67105","description":"RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2542,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.4434,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.8413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.0783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67110","description":"RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.6928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.6288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.9792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.152,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.4625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.0783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.9385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1019.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.8155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.9385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1054.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.6913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.3503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2344.8757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.6252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.7629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1563.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2344.8757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.8126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.6252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.3686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2351.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.7463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.3686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.4925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2351.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.7463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1487.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.2998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.4333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.2998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68330","description":"RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.0905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.6901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68335","description":"RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.1673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.3843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.5017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1385.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.7533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1385.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.7533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.4576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.7825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.3659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.6458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.2153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.3659,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.4305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.6458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.2453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.5247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.7358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.5743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.6226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.1561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.3122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.6245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.3018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.0883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.2648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.7863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.3783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.3783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.6733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.0363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2919.3727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.5621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.1243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2919.3727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.5621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.1243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2063.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3094.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2063.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3094.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1693.2778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1992.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2988.1372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1693.2778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1992.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2988.1372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.3738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.8354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.3738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.8354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1832.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2748.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.1513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1832.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2748.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.1513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2735.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2735.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2964.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2964.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2717.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.6933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2717.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.6933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2971.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2971.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.2792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1620.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2430.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.0821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.1643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.2792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1620.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2430.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.0821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.1643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.3112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2919.3727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.5621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.1243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1031.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2063.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3094.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.7548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1693.2778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1992.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2988.1372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2231.5624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3938.0513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.6838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2231.5624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3938.0513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1550.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1823.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2735.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2717.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.6933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.2792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1620.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2430.4928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.0821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.1643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1683.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2971.3005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.4335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.3738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1727.8354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3049.1213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.1869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1832.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2748.4538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.1513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.1045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1976.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2964.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.1484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":988.2968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55060","description":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55060","description":"RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.4399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2783.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1577.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.5495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2783.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.8874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65290","description":"RPR WND EXTRAOCULAR MUSCLE TENDON and /TENON CAPSU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.7313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.0873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.1219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.8479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.5502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.4065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.3903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.5278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.5972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.3903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.5833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.8732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.5691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.5691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.6695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.0567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.1988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.7045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.0567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.9403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.4518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.6743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.6468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.3485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.7995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.9403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.0455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.4086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.8173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":842.4518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.4893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.4149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.4893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.2381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.2438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.2381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":879.2438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.0022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.3013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.0022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.8633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.5662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1038.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1557.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.8432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.7443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.1551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.8295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.7443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0384,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.3845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98977","description":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98977","description":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98985","description":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98985","description":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98976","description":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98976","description":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98984","description":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98984","description":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98979","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98979","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98980","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98980","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.399,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98981","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98981","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.4645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.1155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81334","description":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENOM TIME DILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85613","description":"RUSSELL VIPER VENOM TIME DILUTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENON TIME UNDILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85612","description":"RUSSELL VIPER VENON TIME UNDILUTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX AND FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX AND FITG CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX CONTACT CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0438U","description":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.4754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92311","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92312","description":"RX and FITG CONTACT LENS CORNEAL LENS APHAKIA OU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92313","description":"RX and FITG CONTACT LENS CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6711,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0281,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.4411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.8823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.6468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0622","description":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.6667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.0002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.3283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.3283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.7325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8594,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.0428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.467,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87183","description":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.1767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1732.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1732.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67255","description":"SCLERAL REINFORCEMENT SPX W/GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.3565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.6425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL REINFORCEMENT SPX W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67250","description":"SCLERAL REINFORCEMENT SPX W/O GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.7738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.0307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.6425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49185","description":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49185","description":"SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1238.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.4528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.3959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.7918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.4843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1006","description":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CONTROL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1149.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCRATCH RESISTANT COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2760","description":"SCRATCH RESISTANT COATING PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCRATCH RESISTANT COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2760","description":"SCRATCH RESISTANT COATING PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0091","description":"SCREEN PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92288","description":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92288","description":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.2283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]}]}]},{"negotiation_arrangement":"ffs","name":"SCROTAL EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55110","description":"SCROTAL EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTAL EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55110","description":"SCROTAL EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55180","description":"SCROTOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55180","description":"SCROTOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.5334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.1832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55175","description":"SCROTOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCROTOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55175","description":"SCROTOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.8292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.7969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2294","description":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0627","description":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0629","description":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2292","description":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.4003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.3608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.4015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.4902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.4902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.2484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.4968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.1858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.6316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21275","description":"SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.4871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.6243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1299.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1299.0758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.5126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85652","description":"SEDIMENTATION RATE RBC AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85651","description":"SEDIMENTATION RATE RBC NON-AUTOMATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0659","description":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1512.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0670","description":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1475.3235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0668","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0667","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0669","description":"SEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2348.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2348.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0672","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0671","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0673","description":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0658","description":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1512.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT PICTURE AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"SELECT PICTURE AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT PICTURE AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92583","description":"SELECT PICTURE AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6454","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  3  and   LT  5","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6453","description":"SELF-ADHERENT BANDGE WDTH  LT or equal to  3 IN PER YARD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99474","description":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99474","description":"SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99473","description":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99473","description":"SELF-MEAS BP PT EDUCAJ/TRAING  and  DEV CALIBRATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.4385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.4385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORINEURAL ACUITY LEVEL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92575","description":"SENSORINEURAL ACUITY LEVEL TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92060","description":"SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I and R SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81327","description":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.0859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.2105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.6076,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.0015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.5023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.2226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.0988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.9623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.3453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.9623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.2384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":838.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.7363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.9313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3219,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.2022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.2022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.3383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92100","description":"SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81332","description":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM BACTERICIDAL TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87197","description":"SERUM BACTERICIDAL TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86808","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86807","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.9395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5656,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.8468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.8597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86413","description":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0601","description":"SEVELAMER CARBONATE ORAL 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0601","description":"SEVELAMER CARBONATE ORAL 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL POWDER 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0602","description":"SEVELAMER CARBONATE ORAL POWDER 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL POWDER 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0602","description":"SEVELAMER CARBONATE ORAL POWDER 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65860","description":"SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65870","description":"SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.119,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.3192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.6877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65880","description":"SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.8897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.4585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.6877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65875","description":"SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.5772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.2096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.3557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65865","description":"SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING TARSORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67710","description":"SEVERING TARSORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67031","description":"SEVERING VITREOUS STRANS LASER 1 OR GT  STAGES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.9432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.4143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1692.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3975","description":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3961","description":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1510.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTIFICATION BARR BODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88130","description":"SEX CHROMATIN IDENTIFICATION BARR BODIES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88140","description":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SF3B1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81347","description":"SF3B1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2007.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7217,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.019,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2983.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13114.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3040.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.2279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.4583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.079,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.7948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.7991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.1425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2703.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3671","description":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3675","description":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6965","description":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14810.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.4553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.4553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.2276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.4553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.7031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.7031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.7501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.7501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.7501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1889.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1772.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1772.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.6426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.9325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1772.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.4831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.9484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.2201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1917.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.9484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.2201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.9484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.3208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.2201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1917.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1917.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5386,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1609,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1411,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.7116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.751,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.0627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.7548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.0886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.6925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.8758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.0388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.0085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.0128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.0955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.7678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SICKLING RBC REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85660","description":"SICKLING RBC REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5897,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1984.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.8632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.2521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5624,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.0155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.8188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2158,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.7925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.3488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.4593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1994.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3518.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1994.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2345.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3518.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.4985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2145.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2523.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3785.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.8899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1261.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2145.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2523.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3785.3393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.8899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12018","description":"SIMPLE REPAIR F/E/E/N/L/M  GT 30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12016","description":"SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.9958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.7847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6576,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12011","description":"SIMPLE REPAIR F/E/E/N/L/M 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.5704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12013","description":"SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12017","description":"SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12014","description":"SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12015","description":"SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.5053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.3835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4519.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2610","description":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2610","description":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.0316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.2725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.0316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.2725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.4702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.4702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.1568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.6502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.6502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.5648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.8277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.209,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.8135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.2502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.2707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.9655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.9482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.2439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.7517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.8292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.9755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.4633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.4063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.4688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.4063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.8228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.1987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.2372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.2195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.9594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.5549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.6351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.2354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.0522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIPULEUCEL-T AUTO CD54 PLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2043","description":"SIPULEUCEL-T AUTO CD54 PLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58729.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59082.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIPULEUCEL-T AUTO CD54 PLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2043","description":"SIPULEUCEL-T AUTO CD54 PLUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58729.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59082.6495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SITZ BATH CHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0162","description":"SITZ BATH CHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SITZ TYPE BATH/EQP PRTBLE USED W/FAUCET ATTCHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0161","description":"SITZ TYPE BATH/EQP PRTBLE USED W/FAUCET ATTCHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SITZ TYPE BATH/EQP PRTBLE USED W/WO COMMODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0160","description":"SITZ TYPE BATH/EQP PRTBLE USED W/WO COMMODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.5715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER WIPES OR SWABS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5120","description":"SKIN BARRIER WIPES OR SWABS EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2624","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2625","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86485","description":"SKIN TEST CANDIDA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST HISTOPLASMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86510","description":"SKIN TEST HISTOPLASMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST UNLISTED ANTIGEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86486","description":"SKIN TEST UNLISTED ANTIGEN EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.0015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81328","description":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.2246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.2186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.2246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.4995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9992,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.9987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.9981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.7179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36223","description":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36223","description":"SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1336.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.5241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3306,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.4826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36222","description":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36222","description":"SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.0185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.8965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2279,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36228","description":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36228","description":"SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.3697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.687,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.5205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.3697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.2631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.6995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.6435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.8939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1268.8673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.9262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.9285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.5088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.1548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.9557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.1628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.3922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.882,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1078.1085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.1628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.0542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":916.3922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36227","description":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36227","description":"SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.2058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.8771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.7543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.9822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.5085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9761,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8914,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.1122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.9628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.3271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.8883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1513.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1513.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.327,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.859,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.2885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3318,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.8353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.7892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.6439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.7892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.9674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.5288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6626,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.4575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.4187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.1985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54001","description":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54001","description":"SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.6512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.2357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3917,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.3105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81337","description":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9453","description":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9453","description":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPD1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81330","description":"SMPD1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.037,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.6585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.3628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5132,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87209","description":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87206","description":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87205","description":"SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87207","description":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNIP INCISION LACRIMAL PUNCTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68440","description":"SNIP INCISION LACRIMAL PUNCTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.8143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNRPN/UBE3A METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81331","description":"SNRPN/UBE3A METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2201.2442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2589.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81463","description":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.5147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81462","description":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.7135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.3983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81457","description":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.3401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.2825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2001.1278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2354.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1954.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2299.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81456","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1954.3072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2299.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM SERUM PLASMA OR WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84295","description":"SODIUM SERUM PLASMA OR WHOLE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3370","description":"SOLE WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81449","description":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.8515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2001","description":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6893.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6893.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3624.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3624.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6252","description":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6252","description":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1592,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88319","description":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88314","description":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.372,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1296","description":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2299","description":"SPECIALTY BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2299","description":"SPECIALTY BIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2786","description":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2786","description":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2399","description":"SPECIALTY TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2399","description":"SPECIALTY TRIFOCAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIFIC GRAVITY EXCEPT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84315","description":"SPECIFIC GRAVITY EXCEPT URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84311","description":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2235.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2235.6075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3000","description":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2619.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.5715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.0253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.3065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.5343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.1855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.5148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.5148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0552","description":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.9613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.7982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.7982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.7982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.4675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.1667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1  PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1  PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86985","description":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.7493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.4996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6064,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.3118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6193,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.036,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1224,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRSF2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81348","description":"SRSF2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.1275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.2368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.972,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.7803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.2377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.4007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGGERED SPONDAIC WORD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92572","description":"STAGGERED SPONDAIC WORD TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAND/RACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1355","description":"STAND/RACK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.249,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"STANDARD WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0001","description":"STANDARD WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0010","description":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3673.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1111.9028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.6343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.8912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.0433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.6739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.7939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.5877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.8912,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.6992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":963.1755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.3988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.2331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.4663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.9325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.3988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.8165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5316.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5316.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1514.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1514.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1514.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5316.444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4397","description":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0424","description":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0439","description":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY Equal to 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0441","description":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY Equal to 1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY  Equal to  1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0442","description":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY  Equal to  1 UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0011","description":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4705.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEM CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86367","description":"STEM CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST PURE TONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92565","description":"STENGER TEST PURE TONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENGER TEST SPEECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92577","description":"STENGER TEST SPEECH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1629.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1629.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36908","description":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2410.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.4022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36908","description":"STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.2016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2410.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.4022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":830.4623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.9786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.6093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1361.8868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.9811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.9623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.9786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.9245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.6063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4886,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4216","description":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4216","description":"STERIL WATER SALINE  and  OR DXT DILUENT/FLUSH 10 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMACH TUBE - LEVINE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4083","description":"STOMACH TUBE - LEVINE TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.5155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.7764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.3514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67318","description":"STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.6247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.3514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.0908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.8743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67340","description":"STRABISMUS EXPL and /RPR DETACHED EXTROCULAR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.7845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6307,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67334","description":"STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.4443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.9345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.9018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.1758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67331","description":"STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9868,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.6825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67311","description":"STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.5703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.1554,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.1565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67314","description":"STRABISMUS RECESSION/RESCJ 1 VER MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.4599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.3377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.7593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.4513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67312","description":"STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.4224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":659.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.4513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.1708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67316","description":"STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.6951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.8475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.1708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67332","description":"STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.7623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.767,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3254,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.4881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9877,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.5616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3153,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3397,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8563,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.382,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STREPTOKINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86590","description":"STREPTOKINASE ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86581","description":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1661.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.2484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.8773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1661.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.3129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.8377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.6258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.6755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.0638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.2484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.2515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.1315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.4939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1396.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1642.7408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.9545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.7386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.7113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.9545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.9638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1931.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.7918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1287.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1931.3753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.7918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.2381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1538.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1810.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.9368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.8038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1206.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1538.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1810.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.452,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.9368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.5865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.8798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.9745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.734,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.4696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1060.6838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.8568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.9523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.1225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.3876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.456,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5783,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.684,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.1535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.4493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCONJUNCTIVAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68200","description":"SUBCONJUNCTIVAL INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.5182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.1889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.8839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.9226,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4147,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.4051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1212,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.6088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.6088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.5363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.0725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.8503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.2507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.7523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.6254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.2507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.6173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.0453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.5426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.1255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.1612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.7365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.737,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.5135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.4635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.464,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.1598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.2848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.8543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84375","description":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84376","description":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84378","description":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84377","description":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84379","description":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4397","description":"SUMMIT AAA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4397","description":"SUMMIT AAA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.744,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7021","description":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7021","description":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.427,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.0901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67516","description":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67516","description":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9512,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.6527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.9727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.6317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.3913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.6317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.2578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1688.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1132.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.291,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":962.2578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1688.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.8442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.5486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8339,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.2965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1177,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.962,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.1703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0284,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.481,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.6299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.9201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.9946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4794,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69706","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2080.3372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2447.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3671.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69706","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0584,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.3845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2080.3372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2447.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.2208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3671.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3701,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.6922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69705","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.8622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2373.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3560.9332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69705","description":"SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.8249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1186.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2017.8622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.4755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2373.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3560.9332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.3713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.0665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.2642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.4311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.6428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.1138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.8855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.1088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.6565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.4427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.476,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.2056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2755.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.3563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33548","description":"SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.2056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2755.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.3563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.8581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.5048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.8581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.0095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.5935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.187,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.3698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.2493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.0746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.2493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.7373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.2178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.4915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.7373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.5753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.1917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.3835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.5753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.1543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.3848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.1543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6589,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.9533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.8472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.3079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.0257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.6158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.4438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":996.0772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.7357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.2453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.7357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1195.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.5475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3209","description":"SURGICAL BOOT EACH CHILD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3208","description":"SURGICAL BOOT EACH INFANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH JUNIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3211","description":"SURGICAL BOOT EACH JUNIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4393","description":"SURGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4393","description":"SURGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4394","description":"SURGRAFT ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4394","description":"SURGRAFT ACA PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0226U","description":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.2675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.4665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.4198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.2366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.4733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.4198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2054.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1163.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2054.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.3368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.8514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.8514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.3173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.6345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.6586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.3173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.6345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.9802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.6634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.6535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.4118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.4118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.5686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.9103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.8948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.5145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.4615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.5919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1760.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.5919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":906.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.3923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67935","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2266,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.3923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67930","description":"SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.089,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.1335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0223,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.4717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.4904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.4673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.0351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.0351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.3633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.7917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.0723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.0498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.7615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.0498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.6453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.9358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.6453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.3969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.2905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.9358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.5726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.4735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.0508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.8118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.6235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.4353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.6158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.7063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.5688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.7063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.0533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.9957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.2278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.9957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.8185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.2278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.8149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66682","description":"SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.4205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.8149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.2045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.7103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.0559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.0559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.2595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.5067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.1255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.1883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.0628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.2356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.206,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.8502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.0785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.5897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.9197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.9733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.5545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.9465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.9197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.5201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.3295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":708.5201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0579,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.5848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.2021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.8239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.826,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.7065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.0868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.0868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.3623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.7245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE/REPAIR TESTICULAR INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54670","description":"SUTURE/REPAIR TESTICULAR INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE/REPAIR TESTICULAR INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54670","description":"SUTURE/REPAIR TESTICULAR INJURY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.9111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWEAT COLLECTION IONTOPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89230","description":"SWEAT COLLECTION IONTOPHORESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.7947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.1125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.7947,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.3375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.7378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.7378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.6422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.7551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7836,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.0205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.2635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.3952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.2635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.2787,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.4502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.6683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.3828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.4975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1371.7463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.3229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":914.4975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1111,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1441,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9614,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.406,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.7838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.7363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.7933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.0485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.3798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.7363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.6816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.6145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.4358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.6314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6374,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.3924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4227,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1876,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.2135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.3274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.6365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.4295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.2435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.3109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.4765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SENTENCE IDENTIFICATION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92576","description":"SYNTHETIC SENTENCE IDENTIFICATION TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC SHEEPSKIN PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0188","description":"SYNTHETIC SHEEPSKIN PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.8605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.9745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.3118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.7907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4958,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.7388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.4552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.0203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.3605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.1279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86593","description":"SYPHILIS TEST QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.3126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1732.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.4205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.6308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Special casting material","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.4745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.4925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86360","description":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86361","description":"T CELLS ABSOLUTE CD4 COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86359","description":"T CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7508","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7508","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7503","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7503","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7521","description":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7521","description":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7507","description":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7507","description":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS PARENTERAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7525","description":"TACROLIMUS PARENTERAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.1478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.7315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4908,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4151,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8302,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.1618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.699,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.0938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.2905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.1506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3012,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.6024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.591,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3808,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.5712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAPE WATERPROOF PER 18 SQUARE INCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4452","description":"TAPE WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33741","description":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.8392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33741","description":"TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.1995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.8392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.5985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.6517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.9085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1528,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.6225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11922","description":"TATTOOING INCL MICROPIGMENTATION EA 20.0 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.766,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TAU PHOSPHORYLATED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84393","description":"TAU PHOSPHORYLATED EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86481","description":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.9375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86480","description":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81344","description":"TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77092","description":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77092","description":"TBS INTERPRETATION  and  REPORT FX RISK BY OTHER QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77090","description":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77090","description":"TBS TECHL PREP and TRANSMIS DATA ALYS PFRMD ELSEWHR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHNICAL CALCULATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77091","description":"TBS TECHNICAL CALCULATION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBS TECHNICAL CALCULATION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77091","description":"TBS TECHNICAL CALCULATION ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33289","description":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33289","description":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.0969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.114,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33274","description":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33274","description":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.3463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.2112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.8433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.8828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.2943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.2112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.8955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1242.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2192.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1242.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2192.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.7265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.4122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.4122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1209.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.5169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1209.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.5169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1474.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.8181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.4122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.7816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":983.2725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1209.3795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.1265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.5169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7511,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.5175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.5157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1663.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.5157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33275","description":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33275","description":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.3532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.239,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.2411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.8585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.3735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.5622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.3558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.7049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.7117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.249,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.8088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.9363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.9916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.8088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.8348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.4681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.1391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.9363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.9916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.8725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.5565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90714","description":"TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDAP VACCINE 7 YRS OR GT  IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90715","description":"TDAP VACCINE 7 YRS OR GT  IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.7843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.5111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.7843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.2934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.7396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.3209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.4253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.9486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.8973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.4253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.7945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.0135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.6459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":936.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.8021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1106.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1660.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.7065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.8021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.0138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1079.5234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1905.0413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.0138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.9062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1988.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.9062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1988.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.5911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.5911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.7946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.5263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.7946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":735.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.7548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.9591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.9183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.0176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1208.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1812.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.0176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1208.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1812.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.8533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.3089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.6178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.8502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1936.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.6555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1291.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1936.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.8278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.6555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9501","description":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9501","description":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0425","description":"TELEHEALTH CONSULT ED/IP 30 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.2335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0426","description":"TELEHEALTH CONSULT ED/IP 50 MIN W/PT TELEHLTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0427","description":"TELEHEALTH CONSULT ED/IP 70 MIN OR GT  PT TELEHELTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2615","description":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2615","description":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8248,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOMIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8700","description":"TEMOZOLOMIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOmIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8700","description":"TEMOZOLOmIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMOZOLOmIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8700","description":"TEMOZOLOmIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CLOSURE EYELIDS SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67875","description":"TEMPORARY CLOSURE EYELIDS SUTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4924,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1016,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.1352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.5328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.1352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.6885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.5328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.9221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.9352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.2052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.0597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.3008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.4721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.2202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.0789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.0789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.8035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.9017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.8529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.7611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.5445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.3168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.8113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.6225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.4338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.1752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3166,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.6333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.2665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.7835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.8998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.1752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.9982,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.7485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.5353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.823,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.497,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9949,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.994,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.3882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2931,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.2684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.2684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6692,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.7473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8439,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.6718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.0968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.6368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5161,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.6553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.0323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.1059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.3973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.4105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.1979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.2748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.7583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.5191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.2748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.0338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.8791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.1999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.0285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":684.0855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.4961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.4961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.5021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.3648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.4957,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.8201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.2278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.5457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.5988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.6373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.8907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5449,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.2485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.7495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.9742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.2485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1601,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.0795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.5693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.3778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0677,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.1422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.1333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9142,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.0765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.2689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6107,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.0723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.0723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":783.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.1991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.9395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.6888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.1103,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0184,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.7053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.4206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.9188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.3063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.3907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1524,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.8722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.3083,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.598,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.4759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.3223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.7204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.6168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.7335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4361,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.5298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8723,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.8432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.0573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.8015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.8376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.0843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.7811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.0843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0730","description":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0720","description":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3161.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEV MX ARTIC DIGIT W/MOTORS INIT ISSUE/REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6715","description":"TERM DEV MX ARTIC DIGIT W/MOTORS INIT ISSUE/REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3124.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1309.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2006.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2327.8395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1546.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.9005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.4505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81345","description":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.6755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TGFBI GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81333","description":"TGFBI GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9505","description":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9505","description":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88241","description":"THAWING AND EXPANSION FROZEN CELLS EACH ALIQUOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.6255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.2065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1506.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.8012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1506.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.6282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.8012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3762,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.113,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97113","description":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97113","description":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3033,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.1881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.2042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.5324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.769,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3956,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.0011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3057,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.242,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.6008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.5967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2009,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.889,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT  AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.3815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3722,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.3177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.6883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.3765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.894,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9953,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4053,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9889,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.9905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9858,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.4704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.2095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.0289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.5215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.4506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1321,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8072,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.7038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5421,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5791,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0842,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1583,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.2432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.1685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.3165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.7855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.9155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5679,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.3565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.5315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.3017,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.002,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.2752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0308,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.6153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.9765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.2665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC PC ORTHOSIS STERNAL COMP CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1320","description":"THORACIC PC ORTHOSIS STERNAL COMP CUSTOM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3071.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC RIB BELT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0220","description":"THORACIC RIB BELT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1102.7552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1946.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.3398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.1121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.8565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.1121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.6056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.5198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.8547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.1836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.7599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.4818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.3151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.5228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.8613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.9538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.9552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8259,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.5103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.2215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.6766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1251.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.2333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.4665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.4121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1072.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1608.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.0624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.4121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.1308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.8551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.5074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.4205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.2872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.2872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.8085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.2833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.4395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.4845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.9118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.4845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.3108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1074.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.3418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.3418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":697.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.3163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.3163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.2194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.7459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.8775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.3338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.3338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.1123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.1854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.3708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.8303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.7415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.1123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.8452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1092.8452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.1409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.5635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.6022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.8413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.4015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.6022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":405.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.5485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.0749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.7205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.5735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.0749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.7205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.4845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1278.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.1211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.2423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.6118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.4845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.2949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":746.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.3413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.9778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.6593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.9778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.9972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7082,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.0685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.6028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.6855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.6822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.6822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.8767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1075.1895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.6908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4952,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.112,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.168,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.4983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.2553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.3759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.9178,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.2553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.1078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.3277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.3648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.2201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.7295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.0943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.3061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.9448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.3061,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.8895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.7448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.2483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.4965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.3418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.3418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.9193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.2876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.2795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85670","description":"THROMBIN TIME PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85675","description":"THROMBIN TIME TITER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.5712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.3735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.547,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.2927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.7299,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.094,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.0977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.2735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.1464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.373,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.8075,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.5415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.3123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.8854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOMODULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"THROMBOMODULIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN INHIBITION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85705","description":"THROMBOPLASTIN INHIBITION TISSUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85730","description":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85732","description":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84431","description":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.6855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.2885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.4558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1573.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.1929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.4558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.9313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.8219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.6438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.7944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.9313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.8219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.6438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.7944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.5778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.9296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.8593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.3607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.7185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.3278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.2841,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.9251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.1662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.3519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.873,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84479","description":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78013","description":"THYROID IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.9331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.8625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID STIMULATING IMMUNE GLOBULINS TSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS TSI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78012","description":"THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1430.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1430.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.4393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.8785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.2635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.2635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.1451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1210.8442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.8074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.6147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.1451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.2295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.6962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.9933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.4989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.9978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.6962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.6002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.8007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.6002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.2005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.4544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1894.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.4438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.4544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.8875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1894.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.7219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":631.4438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80438","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.7454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.7005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80439","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.7035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.1105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.0558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.1768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.8748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8426,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6961,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.6852,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3923,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.9582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3668,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.0494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.5875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.9697,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3748,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.8371,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33745","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33745","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.1247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.2495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33746","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33746","description":"TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.5034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.7951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.7478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.593,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.7553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.6246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.4985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.5422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.8203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.0845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.3053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.6944,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.6437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.1189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.169,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.6105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.4608,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.2535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.9158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.6918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4486,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8973,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1253,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.7945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88237","description":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.2005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.2204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS SOLID TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88239","description":"TISS CUL NEO DISORDERS SOLID TUMOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.7462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88235","description":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88230","description":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88233","description":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87220","description":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1381.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":782.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":921.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.296,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0974","description":"TLSO FULL CORSET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.2325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1529.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0488","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.4575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1222.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.9605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":991.5885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.1325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.6355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.3357,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.0378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.042,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1345.6485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.1113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.8519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.5495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.7038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.5342,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":897.099,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1435.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.5001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.8178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.273,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.0967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.8785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.417,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1553.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.2363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.8765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.4926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9458,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.3522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.337,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.2545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.6326,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.509,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.1905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.6542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.8848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.7695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.6542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.7774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.3653,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.1095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.7623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.6642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3109,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7682","description":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.9255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.1585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONE DECAY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92563","description":"TONE DECAY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.4267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.4267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.9883,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.6865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.8314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8069,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.8905,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.5715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.8358,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.4403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0143,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.9215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.5007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.7666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.7645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPOTECAN ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8705","description":"TOPOTECAN ORAL 0.25 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.5965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.2006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.9415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.2006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1204.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.7101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.8405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.9478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2159.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.8069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2387.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1352.8069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2387.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.7688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3336.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.0328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.5113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2224.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3336.1965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.0328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1726.8447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2031.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3047.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1726.8447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2031.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3047.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.8955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.9738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.9913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.6851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.9825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.9478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.8955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.8433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.9739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.9478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2159.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2159.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1854.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2782.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.5834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1854.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2782.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1993.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1129.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.0585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1993.5878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.9405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.6963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.2989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.8836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.8215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.8481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.7059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3147.7163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.7059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2098.4775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3147.7163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.6194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL TAU (TTAU)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84394","description":"TOTAL TAU (TTAU)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.2958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.3428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.0381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.0381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.9495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87230","description":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81351","description":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.6406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.4595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81353","description":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.1675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81352","description":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPMT GENE ANALAYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81335","description":"TPMT GENE ANALAYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.8417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.6005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.8417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.402,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.0575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.7557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.7557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.9448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":873.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2143.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2521.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3782.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.4778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2143.6244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2521.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3782.8665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.4778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.9879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2450.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3675.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.9879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2450.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3675.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.6435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1473.6382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2505.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2947.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4420.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.8191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1473.6382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2505.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2947.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4420.9148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.8191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.9345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.8035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.5454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.3155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.4385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.5454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.3155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.2298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.2298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.672,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.2848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOPLASTY BY LASER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65855","description":"TRABECULOPLASTY BY LASER SURGERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.1633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.4665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.3265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.1998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.757,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.4897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.8666,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.7332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.4169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.6293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.2063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY AB EXTERNO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65850","description":"TRABECULOTOMY AB EXTERNO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.0566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.4169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.6293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.2063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.0475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8413,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8509","description":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.0765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8507","description":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRNCHSC THRU EST TRACHS INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRNCHSC THRU EST TRACHS INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.5004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.117,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5926,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1853,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.3705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8514","description":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.2735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1052.4465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.6698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.2233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":894.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.8899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.8705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.8899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.8705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.8058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.9676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.9353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":832.8899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.8705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.4625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4481","description":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4481","description":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.9957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.4176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.4325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.3305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.1488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.9957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3581,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.4584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7524","description":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7524","description":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7501","description":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7501","description":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CLEANING BRUSH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4626","description":"TRACHEOSTOMY CLEANING BRUSH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CLEANING BRUSH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4626","description":"TRACHEOSTOMY CLEANING BRUSH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9038,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.8375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.3847,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.6238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.4073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.8145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3768,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.3405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.1303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.4328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.8357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SPEAKING VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8501","description":"TRACHEOSTOMY SPEAKING VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7527","description":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7527","description":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.4515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0850","description":"TRACTION STAND FREESTANDING CERVICAL TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.2525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"R0070","description":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0070","description":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL XRAY EQP and PERS HOM/NRS HOM-TRIP GT 1 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"R0075","description":"TRANS PRTBL XRAY EQP and PERS HOM/NRS HOM-TRIP GT 1 PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL XRAY EQP and PERS HOM/NRS HOM-TRIP GT 1 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0075","description":"TRANS PRTBL XRAY EQP and PERS HOM/NRS HOM-TRIP GT 1 PT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.8702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.3904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6026","description":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4402.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.4554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.8237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.7158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.2389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.7158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.4962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.8513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.1474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.4962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.9955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.1985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8792,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.8022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1592.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2030.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2388.6923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1353.597,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1592.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2030.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2388.6923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.3993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.1154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.7985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.2308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58580","description":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2352.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3529.0553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58580","description":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.9097,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0682,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2352.7035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.8466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3529.0553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.7675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.7293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.1759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9612,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.6701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1941,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2762.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.6055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2762.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.6866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.141,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.6292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.6625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.6935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1096.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0736","description":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0733","description":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.2339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2079.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.0788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.2339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1386.1575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2079.2363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.5394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.0788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.9059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.4273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.1555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.8545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.2818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.7136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.3078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.1015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.1172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.1993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5508,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.4083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.6618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.5554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.1119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.2257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.3605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.5144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.9241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.4543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.7424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.9241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.4543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1070.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.7394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3600","description":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.6383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.4617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.6383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15650","description":"TRANSFER ANY PEDICLE FLAP ANY LOCATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.8343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.1182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.6685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.6145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.5028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.4218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.9171,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3465.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2229.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2622.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3933.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1311.2033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2229.0455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2622.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3933.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.6016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.5409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.0818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.1635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.5362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.0565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.8055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TUB RAIL ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0246","description":"TRANSFER TUB RAIL ATTACHMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.4068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.9669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.9338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.8023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.0874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.8675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.8013,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.4068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.7358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.4715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.3015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ALANINE AMINO ALT SGPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84460","description":"TRANSFERASE ALANINE AMINO ALT SGPT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ASPARTATE AMINO AST SGOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84450","description":"TRANSFERASE ASPARTATE AMINO AST SGOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9413,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8238,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4706,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.8206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.8096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.4288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.2381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.4763,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.8096,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.9525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.4288,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.7349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.4698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.0986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.9395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.4093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.4736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.607,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.8319,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.2103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.214,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.8945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.4123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9277","description":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.1527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8629","description":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8617","description":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.3363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33140","description":"TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.3363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33141","description":"TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.3487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43497","description":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.3387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.3759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43497","description":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.3387,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.3759,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.0163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6259","description":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6259","description":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.5951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1864.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.5951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1864.5795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1145.1043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2020.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.5908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1466.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2492.7614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2932.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4398.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.1651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9503,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.9431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1466.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.9123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.6642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2492.7614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2932.6605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2774,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4398.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.1651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.8127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0556,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.1113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.7891,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.2272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.3338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.8127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.1263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.8544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.4175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.1263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.9427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.3143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.6285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.9427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2112.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.2928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.2977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1408.5855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2112.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.2928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION TESTIS TO THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54680","description":"TRANSPLANTATION TESTIS TO THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.1254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.7507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION TESTIS TO THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54680","description":"TRANSPLANTATION TESTIS TO THIGH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.6251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.1254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.5005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.7507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.4264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67320","description":"TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.6035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.126,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.2117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.8105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.6678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8018,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.4517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2575.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.4517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1717.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2575.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.2505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55880","description":"TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.4038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55880","description":"TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1151.4038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.9006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.8013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.4621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.6025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.2277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.7427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.1078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1846,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.3693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.0046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2292.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1104.0046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.8285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1528.0335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.2435,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2292.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.0084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.5375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL OXYGEN CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4608","description":"TRANSTRACHEAL OXYGEN CATHETER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL OXYGEN CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4608","description":"TRANSTRACHEAL OXYGEN CATHETER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.8738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0786,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.5825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.1388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.8738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.0231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.6233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3552,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.359,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.8698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.3386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.6773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.5513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.0318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.3158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2402.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2826.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4239.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.3158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2402.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2826.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4239.9473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.6579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.0145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.6905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81340","description":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.8458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.5245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81341","description":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.3422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.5782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.0267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.0964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.1711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.8929,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.521,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.2815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.9718,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.3803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.7605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67228","description":"TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.4395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.3375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.2472,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.8738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.3185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.0125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7686","description":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.4715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRG@ GENE REARRANGEMENT ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81342","description":"TRG@ GENE REARRANGEMENT ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.6865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0242U","description":"TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3346.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3937.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0239U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2342.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2756.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0326U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3346.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3937.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0037U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2342.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2756.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI-MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI-MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.4762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1907.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2861.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.4762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1907.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2861.4285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":953.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4377","description":"TRIGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4377","description":"TRIGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIIODOTHYRONINE T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84482","description":"TRIIODOTHYRONINE T3 REVERSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1697.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2545.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.7084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1697.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2545.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.004,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37247","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.5007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37247","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I EA ADDL ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.2525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.8788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8131,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.0504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6263,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.5007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.2507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.6777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.2507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1179.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1768.6777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.9287,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.4035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.5593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5673,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.0477,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.392,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.588,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.196,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.4613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.6587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.4613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.4614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.3075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.4613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.6587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.3114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.6228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.6587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.8683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3640","description":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.8421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1908.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2862.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1621.8421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1908.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2862.0742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3630","description":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3610","description":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.5535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8618","description":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.8043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.809,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.1815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.7722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3377,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.404,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.702,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8934,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ HEMATOPOIETIC CELL BOOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38243","description":"TRNSPLJ HEMATOPOIETIC CELL BOOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ HEMATOPOIETIC CELL BOOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38243","description":"TRNSPLJ HEMATOPOIETIC CELL BOOST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.8408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.5755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6401,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3764,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.717,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MED QUANTIFICATION DD-CFDNA NGS PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0493U","description":"TRNSPLJ MED QUANTIFICATION DD-CFDNA NGS PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2168.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ MEDICINE QUAN DD-CFDNA NGS ALYS PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540U","description":"TRNSPLJ MEDICINE QUAN DD-CFDNA NGS ALYS PLASMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2168.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81560","description":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.8909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81558","description":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2168.775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2551.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.6275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6258","description":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6258","description":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1681.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2967.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.2628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1681.7467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1978.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2967.7883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.6314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.2628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2040.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3060.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1734.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2040.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3060.4455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.6498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.6498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.1275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1112.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.4038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.6222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.8628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.4771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.9542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.6222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.0596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.6058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.0596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":822.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1512.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.0856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1512.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.0856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.1195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.1793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.5016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.1195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.3022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.1246,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.6713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.3022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.919,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1242.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2192.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1242.4046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.5918,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2192.4788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.506,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.1861,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.0425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.7752,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.5638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7959,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.8263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.7606,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.9868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.0414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.1704,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.0829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.1243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.6623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.1463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5207,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.3245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.6906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.8713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.3811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.0717,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.6138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.4124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9356,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.1073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.4164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.8328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.0715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.4983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.1073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.862,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.0704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.8475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.0182,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.0703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9829,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.9194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.921,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.1405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.3815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.2108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.2303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6884,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.6922,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.1085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.1628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.6798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0271,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.0556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.3595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.3461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0543,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.7758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84490","description":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.3234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8062,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.3755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.6233,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5939,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.9518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.9035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4192,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.8553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUB STOOL OR BENCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0245","description":"TUB STOOL OR BENCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.9175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.6355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.9533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING PER FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4616","description":"TUBING PER FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.8752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.2741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.2918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.6448,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":954.8752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.1363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.7197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.729,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.7316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.4088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6822,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.549,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.9432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.9585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.1598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.8642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.1692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.5928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.8642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.1692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.7285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.2583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.6111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.0195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.1718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0927,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5847,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.3688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.7281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.0365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.3621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.0756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.1095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.3688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.8325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.6388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.3718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.8325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.1335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.8417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.8383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.8417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.8383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.6128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.8417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":973.8383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.9127,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.662,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.6625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.4265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.2741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.9695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.6398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.9543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6066,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.831,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.3751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.3751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.5165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.5165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.3255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.198,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0534,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.0565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.8811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.651,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.5848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.9765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7641,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6628,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.1965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.0935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.6731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.7341,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.393,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.5995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4333,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.0278,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.268,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.402,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.067,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.3491,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.0985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.969,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.0205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1615,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0113,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.3055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.4191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.0225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.0338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0056,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.6528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.5667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.0785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2888,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.0909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.8663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4201,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.2098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.1285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1566,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.6293,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.1049,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.778,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.8483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.167,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6414,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.0668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2827,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.3807,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.296,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.8742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.444,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.7235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6247,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4621,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2516,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.1008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8501,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4782,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.092,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.138,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8493,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6603,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.1421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.8123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1354,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2707,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.2065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.9498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.4504,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.4715,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.2728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.1212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":824.8485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.1172,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.6703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.3833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7784,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5639,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.1523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.5254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.0508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.3324,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.5865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.1523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.9273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.3818,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.9758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.849,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.7635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.1453,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.9273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1909,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3084,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1525.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.6986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.2925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.044,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1525.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.174,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.3231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.6463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.9916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.6986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1658.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1409.3415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1658.0498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.3416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.6833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.5615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1136.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.5309,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.231,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.8022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.5895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.8022,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.1811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.367,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.0505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1619,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.0133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.2165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0176,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.8041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0742,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.7643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.5095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.7643,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.3063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.6274,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.2548,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.7688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.3331,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.5069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":674.5095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.5375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.4308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.2185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.4308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.8698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.9051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.479,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.6205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.1108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.7421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.1108,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.0743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.1851,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.3703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.0248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.6294,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.7405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.7421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.0495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMS GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81346","description":"TYMS GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.0157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.5579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.8137,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.8985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.0515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.5773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.4746,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.9492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.526,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U2AF1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81357","description":"U2AF1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0738","description":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1679.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16797.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81350","description":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.6338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRALIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0005","description":"ULTRALIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2362.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0043,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76983","description":"ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76982","description":"ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.1225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76981","description":"ULTRASOUND ELASTOGRAPHY PARENCHYMA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.616,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.0055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5316,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.5408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76978","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.6008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0262,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76979","description":"ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.8265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9636,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.1941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.1695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.257,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.6369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.771,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS MISC PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89240","description":"UNLIS MISC PATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ANESTHESIA PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01999","description":"UNLISTED ANESTHESIA PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"PERUNIT","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMISTRY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84999","description":"UNLISTED CHEMISTRY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.6665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.437,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOGENETIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88299","description":"UNLISTED CYTOGENETIC STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOPATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88199","description":"UNLISTED CYTOPATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0533,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOLOGY  AND  COAGULATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85999","description":"UNLISTED HEMATOLOGY  AND  COAGULATION PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IMMUNOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86849","description":"UNLISTED IMMUNOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.5794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IN VIVO LABORTORY SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88749","description":"UNLISTED IN VIVO LABORTORY SERVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1417.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1741,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.146,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MICROBIOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MICROBIOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89240","description":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89398","description":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88399","description":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86999","description":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED URINALYSIS PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81099","description":"UNLISTED URINALYSIS PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.3125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5151","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5151","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2475.1125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3121.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3219.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2263.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.4655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.8892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5123,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5708,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.0245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.5368,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.3355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.7375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.9865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.7855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2488.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.0345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3727.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.2805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.7995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.8765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.4705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8043","description":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1501.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3565.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3753.6345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.3505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA NITROGEN CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84545","description":"UREA NITROGEN CLEARANCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1202.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2121.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1202.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1414.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.347,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2121.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.5205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.6085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":707.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.1447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.0483,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.1177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.1002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.2355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.1447,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.0241,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.1425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.6054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9422,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.285,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.4213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.5535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.4275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.3303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2369,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4738,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.6317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.637,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.2325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.3173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4093,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.5388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.8185,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.3183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.3745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.2766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.5618,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.716,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0936,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.286,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1872,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.572,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.9148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.4955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.0551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.8295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.5803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.7442,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2634,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5267,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.4825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.4516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.675,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.6125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.1597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.6545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.7716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.4793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.1925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.5799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.9378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.0315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5942,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.8755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.9536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.8913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.8133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.4689,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2971,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.8987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1328.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.3636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.7272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.6363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.4545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.3382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.6765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.3382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.6765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1623.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.9087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.2455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1623.3683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.9087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.4135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.6203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.2068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.1515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.4135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1116.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1675.2488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.2081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.4163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.3076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.2465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.5055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.5444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.5444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.1535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.2884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.1535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.2525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.8585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.9132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.0155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.0233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.0078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.9132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":754.0155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.7028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.3947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.4055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.3514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.7028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.3947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.4055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.4255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.4467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":681.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.0659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.8428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.6142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.1573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":960.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.0726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1373.0692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.8449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.6898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.0726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.3795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.9857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.4632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1107.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.4632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.6732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0313,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.9308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.9448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.6483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":545.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.9448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.7073,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.0023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.4171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.9025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.1218,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.8538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3536,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4756,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.6858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.4225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.7118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.6186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.9033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.4745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.8077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.7693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.8077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.3077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54312","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54312","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  GT  3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.1123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.2245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.5817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.6735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54308","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54308","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR  LT 3 CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.0635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54316","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54316","description":"URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.7768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.2961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.5923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":825.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.4345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.0773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54318","description":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54318","description":"URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.3713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.7425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.2623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.2275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1042.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.9778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.676,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.6795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.7492,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.352,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.3552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.338,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.1223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.3095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.6523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.857,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.461,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.1915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3652,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.7305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.6313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.7719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.5438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.0244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0326","description":"URINAL; FEMALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINAL; MALE JUG-TYPE ANY MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0325","description":"URINAL; MALE JUG-TYPE ANY MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS 2/3 GLASS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81020","description":"URINALYSIS 2/3 GLASS TEST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81007","description":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS MICROSCOPIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81015","description":"URINALYSIS MICROSCOPIC ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.4548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.024,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2251.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.4508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.7663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.9015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2251.3523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.2254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.4508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84580","description":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY ANTEGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"UROGRAPHY ANTEGRADE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.8315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4091,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0289,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.5725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.7402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.9885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5571,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.5222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.8407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.1293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.6815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.5222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.1827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.1827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.1971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.3943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.8657,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6655,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.7885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.9983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.1135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.1703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.5284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.3965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":698.1135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1329.8513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.6419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.2838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":886.5675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1272.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.0685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.0329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":848.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.6597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1120.6597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.7766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.5533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.1065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.6558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.8853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.9049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.7705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.3543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.2341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.3543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.8924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.7848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.2341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.5695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1347.0503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.5084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.0167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.3285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.2376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.2376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.4065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.1355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.2303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8484,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.8845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5946,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.1825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.2346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.157,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.2747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.029,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.2419,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.814,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5559,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.6859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.2775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.2368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.1827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.0385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.7079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9315,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2362,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.2585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.7076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.106,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8881,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.986,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.8625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.7243,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.9605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.2605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.1335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4116,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5777,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5463,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.551,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.1589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7211,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.613,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.046,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.8214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.229,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6149,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0175,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.3734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.3997,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.8415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9381,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.9584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.4805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.5914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.2978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4173,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8034,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.2428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.3048,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5457,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.6211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.1425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8139,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.2591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.0695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.3085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.8445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.3465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.3365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.2632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.531,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.221,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.0824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.6967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0277,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.2302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4694,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.678,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8549,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OPHTHALMIC ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66990","description":"USE OPHTHALMIC ENDOSCOPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.4348,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.6781,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.739,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.2205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.6085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.213,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.7842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.8651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.9096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.8192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.4927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.6385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.4577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.5478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.2915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5729,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UV LIGHT TX SYS BULB/LAMP TIMER; TX 2 SQ FT/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0691","description":"UV LIGHT TX SYS BULB/LAMP TIMER; TX 2 SQ FT/LESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UV LT TX SYS PANL W/BULB/LAMP TIMER 4 FT PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0692","description":"UV LT TX SYS PANL W/BULB/LAMP TIMER 4 FT PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.7895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UV LT TX SYS PANL W/BULBS/LAMPS TIMER 6 FT PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0693","description":"UV LT TX SYS PANL W/BULBS/LAMPS TIMER 6 FT PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1315.041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UV MX DIR LT TX SYS 6 FT CABINET W/BULB/LAMP TMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0694","description":"UV MX DIR LT TX SYS 6 FT CABINET W/BULB/LAMP TMR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4185.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.7165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.0134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.8925,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9527,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6488,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9055,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2394,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.7456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.3745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.7915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.7456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1439.0303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.8384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.6767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.4505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":959.3535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1176.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.4119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.1033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1141.1033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.3678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.6252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.9338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.1291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.6225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.3799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.7598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.4916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1159.9245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.3208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.6415,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.8705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.2906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.2799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.283,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.4882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.6433,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.1627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.573,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.5767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.3255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.3507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1084.7655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6754,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.3507,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.4963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.0523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.9183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1109.9183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.7853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.9864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.6309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.9728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.2618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.9537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.9455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.9058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.9058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.8176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.6353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.7799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.2705,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.3605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.4535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.9895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.9983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.9965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.7941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.8735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.9699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.6163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.5387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.9159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.0775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.6163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1153.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1153.0418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.3473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.3903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.8423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.5318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.6845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.1685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.9445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.9105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.3658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.4553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":816.9105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1459.1588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.3863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.2098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVE FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4288","description":"VALVE FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVE FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4288","description":"VALVE FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2257.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.9993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.3996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1003.9995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.9993,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1771.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9999,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.2941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":501.9998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.5883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":853.3996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2380.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1348.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2380.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":793.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2107.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1194.1472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1404.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2107.3185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.2198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.4395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2909.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1939.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2909.1825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.8638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":969.7275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.2022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2455.0628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.3543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.2022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2455.0628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.1771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.3543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.1896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.6288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.8762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.1896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.7525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.6288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2565.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.1988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1453.8379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.3975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2565.5963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.5994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.1988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.5759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1719.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2579.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1461.5759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1719.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2579.2515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":859.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.1764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1739.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2608.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1478.1764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1739.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2608.5465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.7578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAPORIZER ROOM TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0605","description":"VAPORIZER ROOM TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.7605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE SPHERICITY LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2499","description":"VARIABLE SPHERICITY LENS OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE SPHERICITY LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2499","description":"VARIABLE SPHERICITY LENS OTHER TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37242","description":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3030.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5151.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6061.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9091.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37242","description":"VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4564,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1515.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.9128,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.0989,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3030.5835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.8255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5151.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6061.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.7383,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.0879,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9091.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37244","description":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.1679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.3358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.8272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4566.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.5026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5372.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8059.0073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37244","description":"VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1343.1679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.5008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.2513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2686.3358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.0015,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.8272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4566.7708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.5026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5372.6715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.7538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8059.0073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.0045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37241","description":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1803.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3066.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3607.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5411.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37241","description":"VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9733,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1803.7583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1546,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3066.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.9466,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3607.5165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.996,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.9199,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5411.2748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.494,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.8791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.749,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37243","description":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11474.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3824.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6502.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7649.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37243","description":"VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.8379,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11474.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1623,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.6758,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.3245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.0489,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3824.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.3517,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6502.0053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.9735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7649.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8670","description":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2186,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.9599,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.963,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.541,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.4445,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.8115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.1439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.2705,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.5234,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.0793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2403,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.518,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55200","description":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55200","description":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.9001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.2943,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.2873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.7423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.7648,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.9101,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.5808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY VASOGRAMS UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55300","description":"VASOTOMY VASOGRAMS UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY VASOGRAMS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55300","description":"VASOTOMY VASOGRAMS UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.1837,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.569,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.8535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.6423,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2845,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.8635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.3248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.2545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.3818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.1273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1383.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1627.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2441.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.9653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1383.7409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1627.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2441.8958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.9653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.2911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2220.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1258.2911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.3425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2220.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.0856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.1713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2171.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.7129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1447.8975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2171.8463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.9744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.9488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.8948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1842.1673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.0279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.0558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.9994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.4703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1183.9994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.9405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2089.4108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.2351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":696.4703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2824.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.7019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.4038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2824.2113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.7019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.4038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.9665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.6431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.4833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.6512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2404.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1362.6512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2404.6785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.7798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":801.5595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.4357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.2983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.7164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.4328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.6455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.5389,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.987,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.3104,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.4235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.7335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.0779,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.974,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.8469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.6208,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.8469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.2328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.568,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.5538,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.4153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4256,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.7359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.4718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.0471,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.988,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.0443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.5074,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.322,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.5475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.9645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.2503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.9415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1669,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.4679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.5505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4789,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.8607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.6073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.3615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93584","description":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93584","description":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.683,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.627,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93585","description":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93585","description":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7462,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.9425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93586","description":"VENOGRAPHY CHD CORONARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93586","description":"VENOGRAPHY CHD CORONARY SINUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1179,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93588","description":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93588","description":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7797,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.329,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93587","description":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93587","description":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.4814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.6058,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1245,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.1873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.3478,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.468,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.2067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.4785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.6779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.4235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.5905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.5225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.029,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.5367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.7581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8436,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.9436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.9925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.8408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.8715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0854,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.7717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1794.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.7717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1794.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1883.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.1816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1067.2725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1255.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1600.9088,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1883.4165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.8181,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.9027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.6363,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":627.8055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":907.1816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.6793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1205.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.3762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.7525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1039.9232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1223.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1835.1585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.8598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.7195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.9477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1648.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.9477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.878,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5035,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.4918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.537,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.5402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.276,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.4035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.7049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1065.3615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.1205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.7049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.7455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.8077,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5955,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8732,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6124,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.191,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.4232,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9039,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2978,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.6405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.577,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9856,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.336,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.3182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.5775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.7727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.3137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.4078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7346,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4693,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6977,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.3426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.3693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.7897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.3426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.5795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.9528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.4732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1574.9528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.4921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.9843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.4732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.5405,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.9321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2529.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2529.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7785,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5633,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.2235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.5575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.3355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.6898,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.2816,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.2215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.7348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.7348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.7348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1367.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1609.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2413.7348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.5783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.9304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2196.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.9304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2196.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.2093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.8345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.7086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2399.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2399.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.8505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.1903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.8795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.9104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2274.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.5446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2323.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8195,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.5774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2296.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.6338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.5774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1531.2675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2296.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.8169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.6338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22512","description":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.1079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22512","description":"VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1138.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.0869,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.8081,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.3625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.7376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.2122,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.5438,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.202,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.4752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.5906,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.1079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.4041,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.9505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.1813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VERY LONG CHAIN FATTY ACIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82726","description":"VERY LONG CHAIN FATTY ACIDS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULECTOMY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55650","description":"VESICULECTOMY ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULECTOMY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55650","description":"VESICULECTOMY ANY APPROACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.7406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55600","description":"VESICULOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55600","description":"VESICULOTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.7013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.4025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2843,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.1038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0474,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55605","description":"VESICULOTOMY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOTOMY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55605","description":"VESICULOTOMY COMPLICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.2258,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.9838,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.4547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.6772,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1129,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1647.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.3586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1098.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1647.1035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.5173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.0345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.3586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.4818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.2001,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.4003,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.8273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6804,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.8005,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.6545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.2008,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.4818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.1937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.8098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.799,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1323.1937,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1556.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1634.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.5323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.4498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.0646,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.8995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.8098,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.1292,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.2365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.6964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.496,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1220.6408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.416,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.4401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.832,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.0144,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.6964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":797.664,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.7605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.5557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.0983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.5938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.1875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.4188,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.5557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.5625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.0983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.1844,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.2258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.3148,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.3688,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.4515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.4351,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6269,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.6295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.7375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.9443,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.1063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.3545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.6574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.3375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.1475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.5503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.7584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.3785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.0335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9370","description":"VINCRISTINE SULFATE 1 MG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.5155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87254","description":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87255","description":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87250","description":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87252","description":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87253","description":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34845","description":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.1441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34845","description":"VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.1695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.2543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.0424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.1441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34846","description":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34846","description":"VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1049.3212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.4955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.7433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.6239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.2478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34847","description":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34847","description":"VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1811.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCOSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85810","description":"VISCOSITY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISION ITEM OR SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2799","description":"VISION ITEM OR SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISION ITEM OR SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2799","description":"VISION ITEM OR SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0545","description":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0545","description":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1863,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.631,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2797","description":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2797","description":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95930","description":"VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I and R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.032,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92083","description":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7632,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92082","description":"VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.054,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92081","description":"VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8629,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.2025,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.611,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8334,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.451,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8855,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1265.9692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.9897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.3826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":843.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.7817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.9272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECHANICAL PARS PLANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67036","description":"VITRECTOMY MECHANICAL PARS PLANA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1088.7817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.4636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.9272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.9763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":725.8545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1314.3533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.0589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.1178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.8002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.2355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67041","description":"VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1148.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.7723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.5445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.9365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.9048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.9841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.9365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81355","description":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.4575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.0036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1249.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1874.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.0036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1249.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1874.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1674.4907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1969.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2954.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.9945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1674.4907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1969.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2954.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.4973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.9945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.3707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1902.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2854.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.3707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1902.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2854.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.6973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":951.3945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4353,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8118,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.398,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.901,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2317,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8021,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7031,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7095,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5709,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0951,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3806,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6712,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9661,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7968,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.2715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3424,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.6821,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6848,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8645,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VOICE AMPLIFIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8510","description":"VOICE AMPLIFIER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.8793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9967,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.1945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.9961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.9902,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.4638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.4277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86596","description":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME MEASUREMENT TIMED COLLECTION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81050","description":"VOLUME MEASUREMENT TIMED COLLECTION EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86960","description":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9134,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.604,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1490.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1490.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.8405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.2823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.2823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.1798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1923.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.6411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.2823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1062.0036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1249.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1874.124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.9625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.2181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.7812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1713.1433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.5239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.0478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.7812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.3877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.8197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1464.3877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.1292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.8197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.2585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1366.9898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.6275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.3265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1161.5625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.5938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.1875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.2188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.0993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.3499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.6998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.3995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.0993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.6745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.8933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":628.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1032","description":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1033","description":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1034","description":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.4671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.7229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.726,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.1704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.4475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALK HEAVY DUTY W/O WHLS RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0148","description":"WALK HEAVY DUTY W/O WHLS RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0135","description":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER FOLDING WHEELED ADJUSTABLE/FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0143","description":"WALKER FOLDING WHEELED ADJUSTABLE/FIXED HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0147","description":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0130","description":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0141","description":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4387","description":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4360","description":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.6805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4361","description":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER CIRCULATING HEAT PAD WITH PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0217","description":"WATER CIRCULATING HEAT PAD WITH PUMP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"WATER PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0187","description":"WATER PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WBC ALKALINE PHOSPHATASE COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85540","description":"WBC ALKALINE PHOSPHATASE COUNT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2631","description":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2627","description":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":883.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2626","description":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.4635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2630","description":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1009","description":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2194.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":905.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2310.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.6795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3854.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3854.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3476.7075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3476.7075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4172.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4172.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5111.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5111.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7386.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7386.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6921.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6921.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2415.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2415.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2324.0385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2324.0385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1231","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2543.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3871,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2194,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.8988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7743,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.3162,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5459,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5485,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.9663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.3228,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.3163,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.9325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.6749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.3497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.6995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.0493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7553,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5325,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5052,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5105,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.2658,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.6863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.5975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.1015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8776,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.1523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.2663,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.311,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5298,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.622,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8006,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0574,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.244,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.8636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5893,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.866,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0953","description":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3465.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3465.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0981","description":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.6035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2398","description":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2562.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0954","description":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2301","description":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5565.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.5825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1229","description":"WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR SEAT CUSHION POWERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2610","description":"WHEELCHAIR SEAT CUSHION POWERED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1023","description":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1022","description":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":851.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":776.3175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.7485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.4535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1220","description":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":408.3765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3901","description":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1296.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3900","description":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.0265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3904","description":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2711.8455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.6565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL NONPORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1310","description":"WHIRLPOOL NONPORTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1300","description":"WHIRLPOOL PORTABLE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1968.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1968.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1948.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1718.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1718.8605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1733.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.5655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3906","description":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3522,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.532,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.6674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81460","description":"WHOLE MITOCHONDRIAL GENOME","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.5125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.4856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81465","description":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":626.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.3195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1173.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0432,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.8125,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0735,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0813,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.625,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.6477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0216,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9063,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.6023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4217","description":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4217","description":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6262","description":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6262","description":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3808","description":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.1685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3809","description":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1670.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2131.1955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8579.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7845.1905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81471","description":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81470","description":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.8088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0938,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0515,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.1934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.5798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.482,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.0966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.964,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.1933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.2388,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.928,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.9285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":836.892,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.5798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.1798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.6966,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.3933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.5685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.7865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.1798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.2225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.2037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.349,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.4075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.9933,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.6927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.698,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.047,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.2225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.0913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2803,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.6819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.3638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.3529,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.1184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.121,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.7275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.6815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":856.0913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.4321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.4095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.8578,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.7164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.431,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.4321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.1465,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1251,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94619","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94619","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX WO /ECG","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.5567,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.1495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.4115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.9269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.6194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2111.6813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.8938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1196.6194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1407.7875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2111.6813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.9469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.8938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2732.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1548.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1821.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2732.9243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":910.9748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.6115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.5498,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.8765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.5916,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.8128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1833,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.6255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6236,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8523,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2473,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9203,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.4976,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.409,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.7718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.7418,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.1135,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  AND  48 HR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG  AND  48 HR RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.2192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9323,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2145,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.8721,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.026,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.0292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5839,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.981,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.2667,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7255,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.9988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.8331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.6663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.0326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":875.3325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1539.7673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.6279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.2557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.5348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3328,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.412,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.4141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MED PROGRESS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92285","description":"XTRNL OCULAR PHOTOG W/I and R DOCMT MEDICAL PROGRE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7935,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2865,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.8514,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.1845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.747,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.4525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9303,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.0378,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9825,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.1642,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.0755,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.8501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.965,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.1133,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.9475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.0295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.5189,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.4913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.8383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.3984,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5222,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.2913,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.6275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8819,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2713,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.7638,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.5425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0728,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.502,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.1237,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.7522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.1455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.2183,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.2685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0364,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1282,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.2695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.023,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.6641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.4028,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.5345,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.5671,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.2558,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1343,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84620","description":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4533","description":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4533","description":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4534","description":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4534","description":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9605,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.5975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZIKA VIRUS IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86794","description":"ZIKA VIRUS IGM ANTIBODY","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZINC AIR BATT COCHLR IMPL AND AUD SD PROC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8621","description":"ZINC AIR BATT COCHLR IMPL AND AUD SD PROC REPL EA","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZRSR2 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81360","description":"ZRSR2 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[232803],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}